2021 Kansas Statutes
Chapter 40 - Insurance
Article 22a - Utilization Review
40-22a05 Same; act not applicable to certain reviews and programs.
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.
History: L. 1994, ch. 238, § 5; L. 2014, ch. 115, § 189; L. 2021, ch. 108, § 8; July 1.
