TITLE 50: INSURANCE CHAPTER I: DEPARTMENT OF INSURANCE SUBCHAPTER ww: HEALTH CARE SERVICE PLANS PART 4520 MANAGED CARE REFORM & PATIENT RIGHTS The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been permanently adopted. This menu will point out the Sections on which an emergency rule (valid for a maximum of 150 days, usually until replaced by a permanent rulemaking) exists. The emergency rulemaking is linked through the notation that follows the Section heading in the menu. View Entire Part Section 4520.10 Purpose Section 4520.20 Applicability and Scope Section 4520.30 Definitions Section 4520.40 Provision of Information Section 4520.50 Notice of Nonrenewal or Termination Section 4520.60 Transition of Services Section 4520.70 Health Care Services, Appeals, Complaints and External Independent Reviews Section 4520.80 Joint Resolution of Complaints – Department of Insurance and Department of Public Health - Notification and Resolution Process Section 4520.90 Record of Complaints Section 4520.100 Access and Quality of Care from Providers Without Primary Care Physician Referral or Authorization Section 4520.110 Emergency Services Section 4520.120 Post Stabilization Services Section 4520.130 Registration of Utilization Review Organizations Section 4520.140 Operational Requirements Section 4520.EXHIBIT A Complaint Record and Column Descriptions Section 4520.EXHIBIT B Application for Registration of a Utilization Review Organization (Repealed) Section 4520.EXHIBIT C Utilization Review Organization Officers and Directors Biographical Affidavit (Repealed) Section 4520.EXHIBIT D NAIC Utilization Review Organization Officers and Directors Biographical Affidavit (Repealed)

AUTHORITY: Implementing the Managed Care Reform and Patient Rights Act [215 ILCS 134] and authorized by Section 401 of the Illinois Insurance Code [215 ILCS 5/401], 42 USC 300gg-22, and 45 CFR 150.101(b)(2) and 150.201.

SOURCE: Emergency rules adopted at 23 Ill. Reg. 12466, effective September 27, 1999, for a maximum of 150 days; adopted at 24 Ill. Reg. 3374, effective February 10, 2000; amended at 24 Ill. Reg. 9429, effective July 1, 2000; transferred from the Department of Insurance to the Department of Financial and Professional Regulation pursuant to Executive Order 2004-6 on July 1, 2004; amended at 28 Ill. Reg. 13711, effective September 28, 2004; amended at 30 Ill. Reg. 6368, effective March 29, 2006; amended at 34 Ill. Reg. 6879, effective April 29, 2010; amended at 38 Ill. Reg. 2253, effective January 2, 2014; amended at 38 Ill. Reg. 23431, effective November 25, 2014; transferred from the Department of Financial and Professional Regulation to the Department of Insurance pursuant to Executive Order 2009-4; recodified from 50 Ill. Adm. Code 5420 to 50 Ill. Adm. Code 4520 at 41 Ill. Reg. 4982; amended at 42 Ill. Reg. 20417, effective November 1, 2018; amended at 43 Ill. Reg. 11479, effective September 24, 2019; amended at 46 Ill. Reg. 9881, effective May 31, 2022.