{"data":{"id":"us-mt/33-32-101","jurisdiction":"us-mt","citation":"33-32-101","heading":"Purpose.","body":"The legislature finds and declares that it is the purpose of this chapter to:\n(1) promote the delivery of quality health care in a cost-effective manner;\n(2) foster greater coordination between health care providers, third-party payors, and others who conduct utilization review activities;\n(3) ensure timely access to health care services;\n(4) preserve the integrity of the health care provider and patient relationship;\n(5) protect patients, employers, and health care providers by:\n(a) ensuring that utilization review activities result in informed decisions on the appropriateness of medical care made by those best qualified to be involved in the utilization review process; and\n(b) establishing the use of written clinical criteria for utilization review programs and reviews by appropriate health care providers to ensure a fair and transparent process for patients; and\n(6) establish written standards and clinical criteria for the structure and operation of utilization review and benefit determination processes designed to facilitate ongoing assessment and management of health care services.","path":["TITLE 33. INSURANCE AND INSURANCE COMPANIES","CHAPTER 32. HEALTH UTILIZATION REVIEW","Part 1. General Provisions"],"source_url":"https://mca.legmt.gov/bills/mca/title_0330/chapter_0320/part_0010/section_0010/0330-0320-0010-0010.html","current_through":"Montana Code Annotated 2025","vintage":"","retrieved_at":"2026-09-14T04:52:55Z","sha256":"c5f8d972a4b3ecc41059fd600a1cc838cadc518a433e04cefa5b29c32480b0af","source_id":"us-mt","stale":false,"prev":"us-mt/33-31-405","next":"us-mt/33-32-102"},"notice":"GroundRules: Original legal text. Not legal advice."}