S.D. Admin. R. 20:06:53:31

Current through Register Vol. 50, page 159, June 17, 2024
Section 20:06:53:31 - Assignment of independent review organization for expedited reviews

The assignment by the director of an approved independent review organization to conduct an external review in accordance with this section shall be done on a random basis among those approved independent review organizations qualified to conduct the particular external review based on the nature of the health care service that is the subject of the adverse determination or final adverse determination and other circumstance, including conflict of interest concerns pursuant to § 20:06:53:60.

S.D. Admin. R. 20:06:53:31

37 SDR 48, effective 9/22/2010; 37 SDR 241, effective 7/1/2011.

General Authority: SDCL 58-17-87, 58-17H-49, 58-17I-16, 58-18-79.

Law Implemented: SDCL 58-17-87, 58-18-79.