S.D. Admin. R. 67:16:44:13

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

Section 67:16:44:13 - Utilization review

Utilization review for FQHC or RHC services may be conducted on the following levels:

(1) Computerized claims processing;

(2) Post payment review; and

(3) Peer reviews.

S.D. Admin. R. 67:16:44:13

23 SDR 109, effective 1/5/1997; 46 SDR 050, effective 10/10/2019

General Authority: SDCL 28-6-1(4).

Law Implemented: SDCL 28-6-1(4).