Illinois Illinois 2018 I.  Scope and Applicability A.  Who is subject to the state’s utilization management regulations? Any entities who conduct utilization review programs in Illinois. 215 Ill. Comp. Stat. Ann. 134/85(a). HMOs? Yes. Insurers? Yes. Utilization Review Organizations? Yes. ACOs? Yes, if the ACO is conducting utilization review programs in Illinois, as stated above PPOs? Yes. […]

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