§ 33-46-8. Expiration and Renewal of Certificate
A certificate shall expire on the second anniversary of its effective date unless the certificate is renewed for a two-year term as provided in this Code section. Before the certificate expires but no sooner than 90 days prior to such expiration, a certificate may be renewed for an additional two-year term if the applicant: Otherwise […]
§ 33-46-9. Jurisdiction of Commissioner Over Private Review Agents and Utilization Review Entities
Private review agents and utilization review entities shall be subject to the jurisdiction of the Commissioner in all matters regulated by this chapter and the Commissioner shall have such powers and authority with regard to private review agents and utilization review entities as provided in Code Sections 33-2-9 through 33-2-28 with regard to insurers. History. […]
§ 33-46-10. Applicability of Chapter 39 of Title 33
Private review agents and utilization review entities shall be subject to the provisions of Chapter 39 of this title. History. Code 1981, § 33-46-8 , enacted by Ga. L. 1990, p. 1088, § 1; Code 1981, § 33-46-10 , as redesignated by Ga. L. 2021, p. 629, § 2/SB 80. The 2021 amendment, effective January […]
§ 33-46-11. Listings of Certificate Holders
The Commissioner shall periodically, not less than once a year, provide a list of private review agents and utilization review entities issued certificates and the renewal date for those certificates to all hospitals and to any other individual or organization requesting such list. History. Code 1981, § 33-46-9 , enacted by Ga. L. 1990, p. […]
§ 33-46-12. Reporting Requirements
The Commissioner shall establish such reporting requirements upon private review agents and utilization review entities as are necessary to determine if the utilization review programs are in compliance with the provisions of this chapter and applicable rules and regulations. History. Code 1981, § 33-46-10 , enacted by Ga. L. 1990, p. 1088, § 1; Code […]
§ 33-46-13. Adoption of Rules and Regulations
The Commissioner shall adopt rules and regulations to implement the provisions of this chapter. History. Code 1981, § 33-46-11 , enacted by Ga. L. 1990, p. 1088, § 1; Code 1981, § 33-46-13 , as redesignated by Ga. L. 2021, p. 629, § 2/SB 80. The 2021 amendment, effective January 1, 2022, redesignated former Code […]
§ 33-46-14. Exemptions From Certificate Requirements
No certificate is required for utilization review by any Georgia licensed pharmacist or pharmacy while engaged in the practice of pharmacy, including but not limited to review of the dispensing of drugs, participation in drug utilization review, and monitoring patient drug therapy. History. Code 1981, § 33-46-12 , enacted by Ga. L. 1990, p. 1088, […]
§ 33-46-15. Exemptions From Applicability of Chapter
This chapter shall not apply to any contract with the federal government for utilization and review of patients eligible for hospital services under Title XVIII or XIX of the Social Security Act. This chapter shall not apply to any private review agent or utilization review entity when such private review agent or utilization review entity […]
§ 33-46-16. Commissioner to Issue Annual Report
The Commissioner shall issue an annual report to the Governor and the General Assembly concerning the conduct of utilization review in this state. Such report shall include a description of utilization review programs and the services they provide, an analysis of complaints filed against private review agents and utilization review entities by patients or providers, […]
§ 33-46-1. Construction
This chapter shall be construed liberally to promote consumer protection. History. Code 1981, § 33-46-1 , enacted by Ga. L. 2021, p. 629, § 2/SB 80. Editor’s notes. Ga. L. 2021, p. 629, § 1/SB 80, effective January 1, 2022, redesignated former Code Section 33-46-1, relating to legislative purposes and intent, as present Code Section […]