230-RICR-20-30-14
June 10, 2019
The purpose of this regulation is to reflect changes to bring the Benefit Determination and Utilization Review Act to current national protective standards to assure that benefit determination agencies maintain timely approval and payment for covered health care services to health care entity beneficiaries. In addition, it provides clarity for in these regulations assure quality, continuity and reasonable access to covered benefits are maintained as health care entities and its review agents engage in benefit determination reviews.
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