Indiana  Indiana UM – 3.6.19 I.  Scope and Applicability A.  Who is subject to the state’s utilization management regulations? Any entity performing utilization review.  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 Administrators? Yes. […]

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