Illinois Illinois – 2018 I.  Scope and Applicability A.  Who is subject to the state’s external review laws? All health carriers. 215 ILCS 180/15(a); 50 Ill. Adm. Code 4530.20(a) HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? No specific provision. PPOs? Yes. Third party administrators? Yes only if they are administering benefits via a fully […]

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