General rule.

General rule. An applicable integrated plan must adopt and implement a process for enrollees to request that the plan make an integrated organization determination. The process for requesting that the applicable integrated plan make an integrated organization determination must be the same for all covered benefits. Timeframes and notice requirements for integrated organization determinations for Part B drugs are governed by the provisions for Part B drugs in 422.568(b)(2), 422.570(d)(2), and 422.572(a)(2).

Source

42 CFR § 422.631


Scoping language

None
Is this correct? or