2006 Nebraska Revised Statutes - § 44-5426 — Utilization review program; use of clinical review criteria.
Section 44-5426Utilization review program; use of clinical review criteria.
A utilization review program shall use documented clinical review criteria that are based on sound clinical evidence and are evaluated periodically to assure ongoing efficacy. A health carrier may develop its own clinical review criteria, or it may purchase or license clinical review criteria from qualified vendors. A health carrier shall make available its clinical review criteria upon request to authorized government agencies.
Source:
- Laws 1998, LB 1162, § 11
~Reissue Revised Statutes of Nebraska
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