S.D. Admin. R. 67:16:05:08

Current through Register Vol. 51, page 54, October 28, 2024

Section 67:16:05:08 - Utilization review

Home health services may be reviewed on the following levels:

(1) Computerized claims processing;

(2) Cost comparison to institutional care; and

(3) Postpayment review.

S.D. Admin. R. 67:16:05:08

1 SDR 30, effective 10/13/1974; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 16 SDR 111, effective 1/7/1990; 16 SDR 233, effective 7/1/1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.