Indiana Indiana UM – 10.8.19 I. Scope and Applicability A. Who is subject to the state’s utilization management regulations? Any entity performing utilization review. Burns Ind. Code Ann. § 27-8-17-9(a) HMOs? Yes. Insurers? Yes. Utilization Review Organizations? Yes. ACOs? Yes, if the ACO is acting as a utilization review agent or performing utilization review. PPOs? Yes. Third Party […]
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