The Indiana Department of Insurance recently published an updated Bulletin setting forth the procedures for certification of independent review organizations (“IROs”) with respect to the external review grievance process. Click here for a copy.
In accordance with the federal Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act (collectively, the “ACA”), the Bulletin includes procedures for compliance with requirements promulgated under ACA for IROs. The Bulletin applies to all insurers and Health Maintenance Organizations doing business in Indiana, and to all organizations acting as or interested in acting as IROs for the external review grievance process.
We’ll continue to monitor and share developments in this area.