The purpose of this regulation is to reflect changes to bring the Benefit Determination and Utilization Review Act to current national protective standards to assure that benefit determination agencies maintain timely approval and payment for covered health care services to health care entity beneficiaries. In addition, it provides clarity for in these regulations assure quality, […]
A bulletin was issued regarding the Annual Survey on Health Insurance requirement that is applicable to all insurers authorized to transact health insurance business in the state of Alaska and other interested parties. To view the bulletin, please click here.
The 2017 Maryland Report on the Health Care Appeals & Grievances Law, MSAR #6, was recently issued on December 1, 2018. To view the report, please click here.
Pursuant to Alaska Register 225, changes to 3 AAC 28.900 – 3 AAC 28.918 (Utilization Review and Benefit Determinations), 3 AAC 28.930 – 3 AAC 28.938 (Health Care Insurer Grievance Procedure), 3 AAC 28.950 – 3 AAC 28.982 (External Review of Health Care Coverage Decisions), and 3 AAC 28.989 (General Provisions: Utilization and Benefit Determination, […]