KANSAS INSURANCE DEPARTMENT

Proposed Revisions to K.A.R. 40-4-41i

 

 

K.A.R. 40-4-41i. Utilization review organizations; program qualifications. (a)  The Each utilization review organization shall utilize explicit clinical review criteria or scripts for scripted clinical screening that meet the following criteria:

(1)               Are developed with involvement from appropriate, actively practicing physicians and other providers with current knowledge relevant to the criteria or scripts under review;

(2)               are based on sound clinical principles and processes;

(3)               are evaluated at least annually and are updated, if necessary; and

(4)               if used in a review that leads to a noncertification decision for a specific case under review, are disclosed to the physician, provider, and patient upon request; and

(5)       are approved by the medical director or clinical director.

(b)       The Each utilization review organization shall implement and document a structured professional staff review program that demonstrates a formal program of orientation and training for all clinical reviewers.

(c)        The Each utilization review organization shall establish written clinical qualifications and a process for periodic performance evaluation for all clinical reviewers, both staff and consultant.  This periodic performance evaluation shall include a review of the case files of each member of the utilization management staff.

(d)       The Each utilization review organization shall conduct a periodic formal program for training, as well as ongoing monitoring and evaluation of the performance of nonclinical administrative staff involved in all levels of the review process. (Authorized by K.S.A. 40-103, K.S.A. 1999 Supp. 40-22a04, and 40-22a11; implementing K.S.A. 1999 Supp. 40-22a04, 40-22a06, 40-22a07, and 40-22a11; effective June 22, 2001; amended P-__________________.)