S.D. Admin. R. 67:16:09:06

Current through Register Vol. 50, page 162, June 24, 2024

Section 67:16:09:06 - Utilization review

Utilization review of services covered under this chapter may be conducted on any of the following three levels:

(1) Computerized claims processing;

(2) Postpayment review; and

(3) Peer reviews.

S.D. Admin. R. 67:16:09:06

SL 1975, ch 16, § 1; 1 SDR 77, effective 5/29/1975; repealed, 3 SDR 26, effective 10/6/1976; readopted, 5 SDR 109, effective 7/1/1979; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 16 SDR 227, effective 6/24/1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

42 U.S.C. § 1396 (a)(33)(A).