Ind. Code § 27-1-37.5-1.8
"Clinical criteria"
Indiana · Indiana Code Title 27 — Insurance · Status: effective
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- Citation
- Ind. Code § 27-1-37.5-1.8, "Clinical criteria", Indiana, version 1 as recorded 2026-09-28, yourstate.us, https://yourstate.us/provision/1662477
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Full 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.