Vermont Vermont UM – 10.2.19 I.  Scope and Applicability A.  Who is subject to the state’s utilization review laws? All managed care organizations that use or administer utilization management mechanisms for members or subscribers of any comprehensive major medical health benefit plan subject to the Department’s jurisdiction. CVR 21-040-010(1.3) HMOs? Yes. Insurers? Yes. Utilization review organizations? […]

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