Guidance on External review for Group Health Plans and Health Insurance Issuers Offering Group and Individual Health Coverage, and Guidance for States on State External review Processes
Guidance for technical guidance summarizes requirements for state external review process standards and clarifies that states will have a transition period during which the state can amend its processes to meet the NAIC parallel standard for external reviews.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 22, 2011
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