50 Ill. Adm. Code 4520.140
Operational Requirements
Section 5420
Section 4520.140 Operational
Requirements
A URO shall comply with all URAC
standards except when specifically addressed by Sections 45 and 50 of the Act
for health care plans. The terms in Sections 45 and 50 of the Act shall have
the meaning assigned by the Act. Utilization review decisions shall be issued
pursuant to the Managed Care Reform and Patient Rights Act [215 ILCS 134].