August 15, 2018

Per the Connecticut Department of Insurance examination report dated July 24, 2018, it was noted that OptumHealth Care Solutions (OHCS) failed to follow the procedure of including a reference to a weblink to access the clinical criteria online. In order to remedy this deficiency, OHCS updated the template language to include this reference. To¬† view […]

March 15, 2018

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, […]