Code of the District of Columbia

§ 31–3875.08. Failure to comply and penalties.

(a) Any failure by a utilization review entity to comply with the requirements specified in this chapter shall result in the health care service in question being deemed approved.

(b) An action by a utilization review entity that establishes a pattern or practice of repeated violations of this chapter, as determined by the Commissioner of the Department of Insurance and Securities Regulation, shall constitute a violation of Chapter 22A of this title.