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Illinois Administrative Code (Last Updated: March 27, 2024) |
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TITLE50. INSURANCE |
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PART4520. MANAGED CARE REFORM & PATIENT RIGHTS |
| § 4520.10. Purpose |
| § 4520.20. Applicability and Scope |
| § 4520.30. Definitions |
| § 4520.40. Provision of Information |
| § 4520.50. Notice of Nonrenewal or Termination |
| § 4520.60. Transition of Services |
| § 4520.70. Health Care Services, Appeals, Complaints and External Independent Reviews |
| § 4520.80. Joint Resolution of Complaints – Department of Insurance and Department of Public Health - Notification and Resolution Process |
| § 4520.90. Record of Complaints |
| § 4520.100. Access and Quality of Care from Providers Without Primary Care Physician Referral or Authorization |
| § 4520.110. Emergency Services |
| § 4520.120. Post Stabilization Services |
| § 4520.130. Registration of Utilization Review Organizations |
| § 4520.140. Operational Requirements |
| § 4520.EXHIBIT A. Complaint Record and Column Descriptions |
| § 4520.EXHIBIT B. Application for Registration of a Utilization Review Organization [Repealed] |
| § 4520.EXHIBIT C. Utilization Review Organization Officers and Directors Biographical Affidavit [Repealed] |
| § 4520.EXHIBIT D. NAIC Utilization Review Organization Officers and Directors Biographical Affidavit [Repealed] |
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SOURCE: Emergency rules adopted at 23 Ill. Reg. 12466, effective September 27, 1999, for a maximum of 150 days; adopted at 24 Ill. Reg. 3374, effective February 10, 2000; amended at 24 Ill. Reg. 9429, effective July 1, 2000; transferred from the Department of Insurance to the Department of Financial and Professional Regulation pursuant to Executive Order 2004-6 on July 1, 2004; amended at 28 Ill. Reg. 13711, effective September 28, 2004; amended at 30 Ill. Reg. 6368, effective March 29, 2006; amended at 34 Ill. Reg. 6879, effective April 29, 2010; amended at 38 Ill. Reg. 2253, effective January 2, 2014; amended at 38 Ill. Reg. 23431, effective November 25, 2014; transferred from the Department of Financial and Professional Regulation to the Department of Insurance pursuant to Executive Order 2009-4; recodified from 50 Ill. Adm. Code 5420 to 50 Ill. Adm. Code 4520 at 41 Ill. Reg. 4982; amended at 42 Ill. Reg. 20417, effective November 1, 2018; amended at 43 Ill. Reg. 11479, effective September 24, 2019; amended at 46 Ill. Reg. 9881, effective May 31, 2022.
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Notation
AUTHORITY: Implementing the Managed Care Reform and Patient Rights Act [215 ILCS 134] and authorized by Section 401 of the Illinois Insurance Code [215 ILCS 5/401], 42 USC 300gg-22, and 45 CFR 150.101(b)(2) and 150.201.