S.D. Admin. R. 67:16:47:14

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

Section 67:16:47:14 - Utilization review

The department may conduct utilization reviews on the following three levels:

(1) Computerized claims processing;

(2) Post payment review; and

(3) Peer review.

S.D. Admin. R. 67:16:47:14

32 SDR 33, effective 8/31/2005.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 26-6-14, 28-6-1.