S.D. Admin. R. 20:06:53:74

Current through Register Vol. 51, page 71, January 6, 2025

Section 20:06:53:74 - Continued coverage and ongoing treatment

A plan and issuer must provide continued coverage pending the outcome of an internal appeal of a concurrent review. A plan or issuer may not reduce or terminate an ongoing course of treatment without providing advance notice and an opportunity for advance review.

S.D. Admin. R. 20:06:53:74

37 SDR 63, effective 9/23/2010; 37 SDR 111, effective 12/7/2010.

General Authority: SDCL 58-17-87, 58-18-79.

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