URAC, the Washington, D.C.-based accreditor of health and managed care organizations, announced today that it has changed time frames and a few other aspects of its utilization management standards to make them consistent with federal requirements.
Danielle Potuto, a spokesperson for the group, says the URAC board approved the changes on March 28, and they became effective immediately.
In a statement released today, URAC says most of the changes in UM standards are meant to mesh with time frames required under the U.S. Department of Labor's claims procedure regulation.
For example, the release says the new standards now specify that nonurgent prospective UM decisions must be made within 15 calendar days, while urgent prospective decisions must be made within no more than 72 hours.
Potuto adds that, also due to the Department of Labor regulations, URAC changed standards on appeal processes, such as reducing two levels of appeal to one level.
To see the specific changes, go to the URAC Web site at www.urac.org.