S.D. Codified Laws § 58-17-152

Current through the 2024 Legislative Session
Section 58-17-152 - Application of sections 58-17-149 to 58-17-151

Nothing in §§ 58-17-149 to 58-17-151, inclusive, applies to services provided by a health care professional that are covered by Medicaid, Medicare, TRICARE, or other health care benefit program subject to federal regulations regarding eligibility and provider payments. Nothing in §§ 58-17-149 to 58-17-151, inclusive, requires a health insurer or other entity responsible for credentialing health care professionals on behalf of the health insurer to take any action in violation of the requirements of the National Committee for Quality Assurance (NCQA) or Utilization Review Accreditation Commission (URAC).

Nothing in §§ 58-17-149 to 58-17-151, inclusive, requires a health insurer or other entity responsible for credentialing health care professionals on behalf of the health insurer to credential a health care professional or to permit a non-credentialed health care professional to participate in the health insurer's provider network.

SDCL 58-17-152

SL 2014, ch 236, §4.
Added by S.L. 2014, ch. 236,s. 4, eff. 7/1/2014.