Indiana Code 12-15-35-29. Quorum; majority vote on DUR criteria and standards for prescribing
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Sec. 29. (a) A quorum consists of six (6) voting members of the board.
(b) DUR criteria and standards for appropriate prescribing may only be implemented with the approval of a majority of the quorum of the board. The majority vote must include at least three (3) of the four (4) physician members of the board and may allow the board to accept deviations from the standards on a case-by-case basis.
As added by P.L.75-1992, SEC.19. Amended by P.L.231-1999, SEC.5.
Terms Used In Indiana Code 12-15-35-29
- board: refers to the drug utilization review board created under this chapter. See Indiana Code 12-15-35-2
- criteria: means the predetermined and explicitly accepted elements that are used to measure drug use on an ongoing basis to determine if the use is appropriate, medically necessary, and not likely to result in adverse medical outcomes. See Indiana Code 12-15-35-5
- DUR: means the program designed to measure and assess on a retrospective and a prospective basis the proper use of outpatient drugs in the Medicaid program. See Indiana Code 12-15-35-8
- physician: means an individual who is licensed to practice medicine in Indiana under Indiana Code 12-15-35-12
- Quorum: The number of legislators that must be present to do business.
- standards: means the acceptable range of deviation from the criteria that reflects local medical practice and that is tested on the Medicaid recipient database. See Indiana Code 12-15-35-15