Statutes, codes, and regulations
South Dakota Administrative Rules
Title 20 - PUBLIC SAFETYArticle 20:06 - INSURANCE
Chapter 20:06:53 - External and internal review
Section 20:06:53:48 - Independent review organization decision and notice for experimental or investigational treatment reviews

S.D. Admin. R. 20:06:53:48

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Current through Register Vol. 50, page 159, June 17, 2024
Section 20:06:53:48 - Independent review organization decision and notice for experimental or investigational treatment reviews

Except as provided in § 20:06:53:49, within 20 days after the date it receives the opinion of each clinical reviewer pursuant to § 20:06:53:47, the assigned independent review organization, in accordance with § 20:06:53:50, shall make a decision and provide written notice of the decision to the covered person, the covered person's authorized representative, the health carrier, and the director.

S.D. Admin. R. 20:06:53:48

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.