24.29.1601 |
DEFINITIONS |
|
1/1/2019 |
24.29.1604 |
APPLICABILITY OF UTILIZATION AND TREATMENT RULES |
|
1/1/2019 |
24.29.1607 |
APPLICABILITY OF FORMULARY RULES TO OUT-PATIENT SERVICES |
|
1/1/2019 |
24.29.1609 |
APPLICABILITY OF UTILIZATION AND TREATMENT GUIDELINES FOR MANAGED CARE ORGANIZATIONS OR PREFERRED PROVIDER ORGANIZATIONS |
|
1/1/2019 |
24.29.1611 |
UTILIZATION AND TREATMENT GUIDELINES |
|
6/10/2023 |
24.29.1616 |
INCORPORATION BY REFERENCE AND UPDATES TO THE FORMULARY |
|
5/11/2024 |
24.29.1621 |
PRIOR AUTHORIZATION |
|
1/1/2019 |
24.29.1624 |
INTEGRATION OF FORMULARY WITH MONTANA UTILIZATION AND TREATMENT GUIDELINES – WHEN PRIOR AUTHORIZATION IS REQUIRED |
|
1/1/2019 |
24.29.1631 |
SPECIAL PROVISIONS FOR TRANSITION OF LEGACY CLAIMS – WHEN APPLICABLE |
|
1/1/2019 |
24.29.1641 |
INDEPENDENT MEDICAL REVIEW PROCESS |
|
1/1/2019 |
24.29.1645 |
EXPEDITED CASE REVIEW FOR PRESCRIPTION MEDICATIONS BY DLI MEDICAL DIRECTOR |
|
1/1/2019 |
24.29.1648 |
DISPUTE RESOLUTION FOR FORMULARY |
|
1/1/2019 |