"Clinical criteria"
Ind. Code § 27-1-37.5-1.8
in effectSec. 1.8. As used in this chapter, "clinical criteria" means:
(1) written policies;
(2) written screen procedures;
(3) drug formularies or lists of covered drugs;
(4) determination rules;
(5) determination abstracts;
(6) clinical protocols;
(7) practice guidelines;
(8) medical protocols; and
(9) any other criteria or rationale;
used by the utilization review entity to determine the medical necessity of a health care service.
As added by P.L.144-2025, SEC.6.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/27Fetched: 10/17/2026