The director may, after consultation with the secretary, promulgate rules, pursuant to chapter 1-26 , to carry out the provisions of this chapter. The rules shall provide for a timely administration of utilization review by the public and assure that utilization review decisions are made in a fair and clinically acceptable manner. The rules may include the following: (1) Definition of terms; (2) Timing, form, and content of reports; (3) Application of clinical criteria as it relates to utilization review; (4) Written determinations; and (5) Utilization review procedures. The director may promulgate rules, pursuant to chapter 1-26 , pertaining to claims for group disability income plans. The rules shall be consistent with applicable federal requirements included in 29 CFR Part 2560 as amended to January 1, 2011.
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