New York A06648 amends the insurance law to ensure utilization review determinations are consistent with medical and scientific evidence, including.
New York A06648 amends the insurance law to ensure that certain utilization review determinations are made consistent with medical and scientific evidence. The bill includes services for mental health and substance use disorders as part of emergency services. It mandates that utilization review agents use evidence-based and peer-reviewed clinical review criteria that are appropriate to the age of the patient and fully consistent with medical and scientific evidence. These criteria must publicly identify all authors, reviewers, and editors who participated in their development and review.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.