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2025 Code of Georgia
Title 33 - Insurance (Chs. 1 — 66)
Chapter 20A - Managed Health Care Plans (Arts. 1 — 4)
Article 2 - Patient’s Right to Independent Review (§§ 33-20A-30 — 33-20A-42)
Annotations
Notes
Editor’s notes.Ga. L. 1999, p. 350, § 4, not codified by the General Assembly, provides that this Act “shall be applicable to any contract, policy, or other agreement of a managed care plan or health maintenance organization if such contract, policy, or agreement provides for health care services or reimbursement therefor and is issued, issued for delivery, delivered, or renewed on or after July 1, 1999.”
Research References & Practice Aids
Administrative rules and regulations.Patient’s Right to Independent Review, Official Compilation of the Rules and Regulations of the State of Georgia, Department of Community Health, Health Planning, Chapter 111-2-3.
Hierarchy Notes:O. C. G. A. Title 33
O. C. G. A. Title 33, Ch. 20A
Universal Citation:
O.C.G.A. Title 33, Ch. 20A, Art. 2
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- § 33-20A-30. Short title
- § 33-20A-31. Definitions
- § 33-20A-32. Right to appeal
- § 33-20A-33. Minimum expense of treatment prior to review
- § 33-20A-34. Representatives for enrollee; cost of review; cooperation
- § 33-20A-35. Request for independent review
- § 33-20A-36. Additional information required for independent review
- § 33-20A-37. Effect of favorable determinations
- § 33-20A-38. Organizational and employee liability
- § 33-20A-39. Certification of independent review organizations; conflict of interest; quality assurance mechanism; copies of nonproprietary information
- § 33-20A-40. Determining medical necessity or whether a treatment is experimental
- § 33-20A-41. Rules and regulations
- § 33-20A-42. Grievance procedures and hearings for Medicaid care management members
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