Home/Missouri/Statutes/Title XXIV: BUSINESS AND FINANCIAL INSTITUTIONS/Ch. 374: Department of Commerce and Insurance/§ 374.503
Missouri Statutes

§ 374.503 — Certificate required for utilization review agents, exceptions.

Missouri § 374.503
JurisdictionMissouri
Title XXIVBUSINESS AND FINANCIAL INSTITUTIONS
Ch. 374Department of Commerce and Insurance

This text of Missouri § 374.503 (Certificate required for utilization review agents, exceptions.) is published on Counsel Stack Legal Research, covering Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mo. Rev. Stat. § 374.503 (2026).

Text

1.A utilization review agent may not conduct utilization review in this state unless the Missouri department of commerce and insurance has granted the utilization review agent a certificate.
2.No certificate is required for those review agents conducting general in-house utilization review for hospitals, home health agencies, clinics, private offices or any other health facility or entity, so long as the review does not result in the approval or denial of payment for hospital or medical services for a particular case.

Free access — add to your briefcase to read the full text and ask questions with AI

Legislative History

(L. 1991 S.B. 352 § 2) Effective 7-10-91

Nearby Sections

15
§ 374.005
Department created, duties — definitions.
§ 374.007
Statutory reference changes authorized.
§ 374.010
Department — general powers.
§ 374.015
Issuance of bulletins by director — definitions — bulleting not to have force and effect of law and are not binding.
§ 374.018
Issuance of no-action letters by director — definitions — effect of letters — duty of department — letters not public records.
§ 374.020
Director — qualifications — appointment.
§ 374.030
Director — oath — bond.
§ 374.040
Director — duties — administrative hearing commission law not applicable.
§ 374.045
Director authorized to make rules and regulations, procedure, this chapter.
§ 374.046
Relief issued by director for violations of state laws — considerations — notice — effective date of order — contents of order, procedures — penalty — costs — powers of director — service — order filed — noncompliance — modification of order — additional penalties — definitions.
§ 374.047
Willful violation of state law, order — notice.
§ 374.048
Violations of state laws, action in circuit court — relief — bond — venue — judgment — fund created.
§ 374.049
Classification of violations — orders, penalties — enhancement of penalties — reduction of penalties — deposit and use of penalties — effective date.
§ 374.050
Seal of office — effect.
§ 374.051
Refusal of license and nonrenewal, applicant may appeal, procedure.
View on official source ↗

Cite This Page — Counsel Stack

Bluebook (online)
Missouri § 374.503, Counsel Stack Legal Research, https://law.counselstack.com/statute/mo/374/374.503.