2017 Missouri Revised Statutes
Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 374 Department of Insurance, Financial Institutions and Professional Registration
Section 374.503 Certificate required for utilization review agents, exceptions.
Effective 10 Jul 1991, see footnote
Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 374374.503. Certificate required for utilization review agents, exceptions. — 1. A utilization review agent may not conduct utilization review in this state unless the Missouri department of insurance, financial institutions and professional registration has granted the utilization review agent a certificate.
2. No certificate is required for those review agents conducting general in-house utilization review for hospitals, home health agencies, clinics, private offices or any other health facility or entity, so long as the review does not result in the approval or denial of payment for hospital or medical services for a particular case.
(L. 1991 S.B. 352 § 2)
Effective 7-10-91
