Kentucky Revised Statutes Title XXV. Business and Financial Institutions § 304.17A-603.Application of KRS 304.17A-600 to 304.17A-633; written procedures for coverage and utilization review determinations to be accessible on insurers' Web sites; preauthorization review requirements for insurers

(a) Determining whether a requested service, treatment, drug, or device is covered under the terms of a covered person's health benefit plan;

(b) Making utilization review determinations; and

(c) Notifying covered persons, authorized persons, and providers acting on behalf of covered persons of its determinations.

(4)(a) If an insurer requires preauthorization to be obtained for a service to be covered, the insurer shall maintain information on its publicly accessible Web site about the list of services and codes for which preauthorization is required. The Web site shall indicate, for each service required to be preauthorized:

(b) An insurer shall maintain a complete list of services for which preauthorization is required, including for all services where preauthorization is performed by an entity under contract with the insurer.

(c) An insurer shall not deny a claim for failure to obtain preauthorization if the preauthorization requirement was not in effect on the date of service on the claim.

(a) An associated procedure has been preauthorized; or

(b) Preauthorization for the procedure is not required.