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