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- 33-30-1010 · Renumbered 33-30-1021.
- 33-30-1011 · Dentists performing services common to both medicine and dentistry.
- 33-30-1012 · Repealed.
- 33-30-1013 · Coverage required for services provided by nurse specialists.
- 33-30-1014 · Coverage for well-child care.
- 33-30-1015 · Limitation of eligibility on conversion.
- 33-30-1016 · Coverage for adopted children from time of placement -- preexisting conditions.
- 33-30-1017 · Coverage required for services provided by naturopathic physicians.
- 33-30-1018 · Coverage required for services provided by physical therapist.
- 33-30-1019 · Coverage for services provided under freedom of choice for auxiliary health services.
- 33-30-1020 · Coverage for services provided under freedom of choice for mental health services.
- 33-30-1021 · Applicability.
- 33-30-1101 · Subrogation rights.
- 33-30-1102 · Notice -- shared costs of third-party action -- limitation.
- 33-31-101 · Short title.
- 33-31-102 · Definitions.
- 33-31-103 · Rules.
- 33-31-104 · Repealed.
- 33-31-105 · 33-31-105 through 33-31-110 reserved.
- 33-31-111 · (Temporary) Statutory construction and relationship to other laws.
- 33-31-111 · (Effective October 1, 2026) Statutory construction and relationship to other laws.
- 33-31-112 · Filings and reports as public documents.
- 33-31-113 · Confidentiality of medical information.
- 33-31-114 · Coverage for adopted children from time of placement -- preexisting conditions.
- 33-31-115 · Applicability to managed health care entity.
- 33-31-201 · Establishment of health maintenance organizations.
- 33-31-202 · Issuance of certificate of authority.
- 33-31-203 · Powers of insurers and health service corporations.
- 33-31-204 · Acquisition, control, or merger of a health maintenance organization.
- 33-31-205 · 33-31-205 through 33-31-210 reserved.
- 33-31-211 · Annual statements -- revocation for failure to file -- penalty for false swearing.
- 33-31-212 · Fees.
- 33-31-213 · 33-31-213 and 33-31-214 reserved.
- 33-31-215 · Investment regulations.
- 33-31-216 · Protection against insolvency.
- 33-31-217 · 33-31-217 through 33-31-220 reserved.
- 33-31-221 · Powers of health maintenance organizations.
- 33-31-222 · Governing body.
- 33-31-223 · Fiduciary responsibilities.
- 33-31-301 · Evidence of coverage -- schedule of charges for health care services.
- 33-31-302 · Information to enrollees.
- 33-31-303 · Complaint system.
- 33-31-304 · Dual choice.
- 33-31-305 · Dentist participation as provider.
- 33-31-306 · Point-of-service option.
- 33-31-307 · Affiliation periods.
- 33-31-308 · 33-31-308 through 33-31-310 reserved.
- 33-31-311 · Insurance producer license required.
- 33-31-312 · Prohibited practices.
- 33-31-313 · Premium increase restriction -- exception.
- 33-31-314 · 33-31-314 through 33-31-320 reserved.
- 33-31-321 · Disclosure standards -- health maintenance organizations.
- 33-31-322 · Repealed.
- 33-31-401 · Examination.
- 33-31-402 · Suspension or revocation of certificate of authority.
- 33-31-403 · Supervision, rehabilitation, or liquidation of health maintenance organization.
- 33-31-404 · Administrative procedures.
- 33-31-405 · Penalties and enforcement.
- 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.
- 33-32-106 · Disclosure of utilization review requirements -- drug benefit information.
- 33-32-107 · Length of prior authorization.
- 33-32-108 · Retroactive denials prohibited.
- 33-32-109 · Biologic prescriptions for minors.
- 33-32-201 · Repealed.
- 33-32-202 · Commissioner not to approve or disapprove plans.
- 33-32-203 · Repealed.
- 33-32-204 · Repealed.
- 33-32-205 · Corporate oversight of utilization review program.
- 33-32-206 · Responsibility for contracted services.
- 33-32-207 · Health insurance issuer duties for utilization review.
- 33-32-208 · Operational requirements.
- 33-32-209 · Exemption for continuity of care on change in health plans.
- 33-32-210 · Qualifications of individuals making or reviewing adverse determinations.
- 33-32-211 · Procedures for standard utilization review and benefit determinations -- notices.
- 33-32-212 · Procedures for expedited utilization review and benefit determinations.
- 33-32-213 · 33-32-213 and 33-32-214 reserved.
- 33-32-215 · Emergency services.
- 33-32-216 · Confidentiality.
- 33-32-217 · Disclosure.
- 33-32-218 · 33-32-218 through 33-32-220 reserved.
- 33-32-221 · Prior authorization requirements.
- 33-32-222 · Prohibition on prior authorization requirements for prescriptions written at discharge from inpatient care.
- 33-32-223 · Required method of accepting prior authorization requests.
- 33-32-301 · Short title.
- 33-32-302 · Applicability and scope.
- 33-32-303 · Purpose.
- 33-32-304 · 33-32-304 and 33-32-305 reserved.
- 33-32-306 · Grievance reporting and recordkeeping requirements -- definition.
- 33-32-307 · Grievance review procedures.
- 33-32-308 · Grievances involving adverse determination.
- 33-32-309 · Expedited review of grievance involving adverse determination.
- 33-32-401 · Purpose.
- 33-32-402 · Definitions for external review.
- 33-32-403 · Notice of right to external review.
- 33-32-404 · Request for external review.
- 33-32-405 · Exhaustion of internal grievance process.