District of Columbia District of Columbia ER -6.14.19   I.  Scope and Applicability A.  Who is subject to the state’s external review laws? All health carriers. HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? Yes. PPOs? Yes. Third party administrators? Yes. B.  What exemptions are provided, if any? Cases directly involving coverage determination or […]

To access this content, please login or click here to subscribe