Montana SB446 revises healthcare utilization review laws, requiring specific qualifications for physicians reviewing grievances and adverse.
Montana SB446 revises laws related to healthcare utilization review, establishing qualifications for physicians involved in the review process. The bill mandates that only physicians with a current, valid nonrestricted license can make adverse determinations or review grievances. These physicians must have the same specialty as the health care provider managing the condition or service in question and must have experience treating patients with the relevant medical condition.
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