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Bureau of Insurance
OTHER PFR AGENCIES
Medical Utilization Review
To: State of Maine Medical Utilization Review Entity Initial license applicants.
Enclosed please find the application kit to be used when applying for a license to perform medical utilization review services. The kit includes the following:
2. A copy of Title 24-A M.R.S.A. Chapter 34, Licensure of Medical Utilization Review Entities.
3. A copy of Maine Bureau of Insurance Bulletin # 265, Utilization Review Determinations.
4. A copy of Title 24-A M.R.S.A. Chapter 56-A, Health Plan Improvement Act.
5. A copy of Maine Bureau of Insurance Rule Chapter 850, Health Plan Accountability.
Prior to submitting an application to obtain a medical utilization review license, please make certain that the medical utilization review programs the applicant seeks to perform are in full compliance with the statutes, regulation, and bulletin referenced above.
Please direct your completed application and attending exhibits to:
Last Updated: December 17, 2013
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