Section

432E-1 Definitions

432E-1.4 Medical necessity

432E-1.5 Licensure of managed care plan medical directors

432E-2 Conflict with other laws

432E-3 Access to services

432E-4 Enrollee participation in treatment decisions

432E-5 Complaints and appeals procedure for enrollees

432E-6 External review procedure

432E-6.5 Expedited appeal, when authorized; standard

for decision

432E-7 Information to enrollees

432E-8 Enforcement

432E-9 Utilization review

432E-10 Managed care plan performance measurement and data

reporting standards

432E-11 Accreditation of managed care plans

432E-12 Rules

432E-13 Annual report