K.S.A. 40-22a05: Same; act not applicable to certain reviews and programs.

The utilization review organization act shall not apply to:

(a) Utilization review of health care services provided to patients under the authority of the Kansas workers compensation act, K.S.A. 44-501 et seq., and amendments thereto;

(b) reviews conducted by any insurance company, health maintenance organization, prepaid service plan, group-funded self-insured plan or similar entity solely for the purpose of determining compliance with the specific terms and conditions of an insurance policy, agreement or contract as a part of the normal claim settlement process; or

(c) any medical programs operated by the secretary for aging and disability services or any entity to the extent it is acting under contract with the secretary.