2006 Louisiana Laws - RS 22:3072 — Authorization or licensure as an mnro
§3072. Authorization or licensure as an MNRO
A. No health insurance issuer shall act as an MNRO for the purpose of determining medical necessity, determining the appropriateness of care, determining the level of care needed, or making other similar medical determinations unless authorized as an MNRO by the commissioner as provided in this Chapter.
B. No entity acting on behalf of or as the agent of a health insurance issuer may act as an MNRO for the purpose of determining medical necessity, determining the appropriateness of care, determining the level of care needed, or making other similar determinations unless licensed as an MNRO by the commissioner as provided in this Chapter.
C. Any other entity may apply for and be issued a license under this Chapter to act as an MNRO for the purposes of determining medical necessity, determining the appropriateness of care, determining the level of care needed, or making other similar determinations on behalf of a health benefit plan.
D. Any entity licensed as an MNRO shall be exempt from the requirements of R.S. 40:2721 through 2736.
Acts 1999, No. 401, §1, eff. Jan. 1, 2000.
NOTE: See Acts 1999, No. 401, §2, regarding applicability.
Disclaimer: These codes may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
