New York New York ER – 10.15.19 I. Scope and Applicability A. Who is subject to the state’s external review laws? Applies to final adverse determination by a health plan. NY CLS Ins § 4910(a) HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? Yes. PPOs? Yes. Third party administrators? Yes. B. What exemptions are […]
To access this content, please login or click here to subscribe