Idaho Idaho ER – 10.24.19 I.  Scope and Applicability A.  Who is subject to the state’s external review laws?  All health carriers and independent review organizations. Idaho Code § 41-5904(1); IDAPA HMOs? Yes. Insurers? Yes. Utilization review organizations? No. ACOs? Yes. PPOs? Yes. Third party administrators? Yes, unless exempt. B.  What exemptions are provided, if […]

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