{"data":{"id":"us-in/ic-27-1-37.5-1.8","jurisdiction":"us-in","citation":"IC 27-1-37.5-1.8","heading":"\"Clinical criteria\"","body":"Sec. 1.8. As used in this chapter, \"clinical criteria\" means:\n(1) written policies;\n(2) written screen procedures;\n(3) drug formularies or lists of covered drugs;\n(4) determination rules;\n(5) determination abstracts;\n(6) clinical protocols;\n(7) practice guidelines;\n(8) medical protocols; and\n(9) any other criteria or rationale;\nused by the utilization review entity to determine the medical necessity of a health care service.","path":["TITLE 27. INSURANCE","ARTICLE 1. DEPARTMENT OF INSURANCE","Chapter 37.5. Health Care Service Prior Authorization"],"source_url":"https://iga.in.gov/ic/2026/Title_27.html#27-1-37.5-1.8","current_through":"2026","vintage":"2026","retrieved_at":"2026-09-25T05:39:04Z","sha256":"62343fb5fc01f7decff51efe98e101bdd3cf2fbc8e7433cb8008ae092fc3755e","source_id":"us-in","stale":false,"prev":"us-in/ic-27-1-37.5-1.7","next":"us-in/ic-27-1-37.5-1.9"},"notice":"GroundRules: Original legal text. Not legal advice."}