The Massachusetts Utilization Review Application (To Become An Approved Agent And Affidavit of Compliance) is a legal document used by organizations in the Commonwealth of Massachusetts to apply for state approval to provide utilization review services. The application is used to ensure that organizations meet all requirements for providing these services, including adherence to state regulations, applicable laws, and industry standards. The application consists of two parts: the Agent Application and the Affidavit of Compliance. The Agent Application includes a detailed description of the organization, its services, and the qualifications of the individuals who will be providing the utilization review services. It also includes details about the organization’s financial stability, administrative procedures, and data security measures. The Affidavit of Compliance is a legal document that must be signed by an authorized representative of the organization and submitted with the Agent Application. It states that the organization and its employees will comply with all applicable state and federal laws, regulations, and industry standards. The specific types of Massachusetts Utilization Review Application (To Become An Approved Agent And Affidavit of Compliance) depend upon the type of organization applying for approval. For example, an application for a hospital or health care facility would be different from an application for a managed care organization or third party administrator.