{"data":{"id":"us-ks/k.s.a.-40-22a05","jurisdiction":"us-ks","citation":"K.S.A. 40-22a05","heading":"Same; act not applicable to certain reviews and programs.","body":"The utilization review organization act shall not apply to:\n(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;\n(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\n(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.","path":["Chapter 40.—INSURANCE","Article 22a.—UTILIZATION REVIEW"],"source_url":"https://www.ksrevisor.gov/statutes/chapters/ch40/040_022a_0005.html","current_through":"2025 legislative session","vintage":"","retrieved_at":"2026-10-15T06:15:01Z","sha256":"04f2337990a600f288f9b1ddfaadb53b803def3d1b3046310f7f8fb5157b932f","source_id":"us-ks","stale":false,"prev":"us-ks/k.s.a.-40-22a04","next":"us-ks/k.s.a.-40-22a06"},"notice":"GroundRules: Original legal text. Not legal advice."}