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Can I act as a medical director or perform utilization reviews with a retired license?

April 26, 2017ACT director license medical perform retired Reviews utilization

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Can I act as a medical director or perform utilization reviews with a retired license?

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No. Utilization review decisions constitute the “practice of medicine.” A medical director/physician who reviews and makes medical necessity determinations is considered to be “practicing medicine” as the medical director’s decision directly impacts the treatment the patient will receive.