Ind. Code § 27-1-37.5-1.8
This is the official text of Ind. Code § 27-1-37.5-1.8, part of Indiana’s Code — part of the compiled statutory law of Indiana, published by the state as "Code." Browse the sections below, each linked to its official government source.
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"Clinical criteria"
Official statutory text
Sec. 1.8. As used in this chapter, "clinical criteria" means:
(1) written policies;
(2) written screen procedures;
(3) drug formularies or lists of covered drugs;
(4) determination rules;
(5) determination abstracts;
(6) clinical protocols;
(7) practice guidelines;
(8) medical protocols; and
(9) any other criteria or rationale;
used by the utilization review entity to determine the medical necessity of a health care service.
As added by P.L.144-2025, SEC.6.
(1) written policies;
(2) written screen procedures;
(3) drug formularies or lists of covered drugs;
(4) determination rules;
(5) determination abstracts;
(6) clinical protocols;
(7) practice guidelines;
(8) medical protocols; and
(9) any other criteria or rationale;
used by the utilization review entity to determine the medical necessity of a health care service.
As added by P.L.144-2025, SEC.6.
Status: in_force · Read it on the official government site
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