S.D. Admin. R. 67:16:13:06

Current through Register Vol. 51, page 67, December 16, 2024

Section 67:16:13:06 - Utilization review

Utilization review for mental health center and clinic services may be conducted on the following levels:

(1) Computerized claims processing;

(2) Postpayment review; and

(3) Peer reviews.

S.D. Admin. R. 67:16:13:06

4 SDR 88, effective 6/26/1978; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 16 SDR 234, effective 7/2/1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.