Montana Statutes
§ 33-32-105 — Application -- Exemptions
Montana·Title 33 INSURANCE AND INSURANCE COMPANIES·Ch. 32 HEALTH UTILIZATION REVIEW·Part 1 General Provisions
33-32-105 . Application -- exemptions.
(1)Except as provided in subsections (2) and (3), the provisions of this chapter apply to:
(a)a health insurance issuer that offers a health plan and provides or performs utilization review services;
(b)any designee of the health insurance issuer or utilization review organization that performs utilization review functions on the health insurance issuer's behalf; and
(c)a health insurance issuer or its designated utilization review organization that provides or performs prospective review or retrospective review benefit determinations.
(2)A general in-house utilization review for a health care provider, including an in-house utilization review that is conducted by or for a long-term care facility and that is required by regulations for medicare o
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Legislative History
En. Sec. 9, Ch. 665, L. 1991; amd. Sec. 38, Ch. 428, L. 2015.
Nearby Sections
15
§ 33-32-101
Purpose§ 33-32-102
Definitions§ 33-32-103
Utilization Review Plan§ 33-32-104
Preemption By Federal Law§ 33-32-105
Application -- Exemptions§ 33-32-107
Length Of Prior Authorization§ 33-32-108
Retroactive Denials Prohibited§ 33-32-109
Biologic Prescriptions For Minors§ 33-32-201
Repealed§ 33-32-203
Repealed§ 33-32-204
Repealed§ 33-32-206
Responsibility For Contracted Services