S.D. Codified Laws § 58-17-158

Current through the 2024 Legislative Session

Section 58-17-158 - Authorization, prior approval, and other care management requirements-Annual maximum benefit

Coverage for an applied behavior analysis may be subject to pre-authorization, prior approval, and other care management requirements including limits on the number of individual visits a person may make for applied behavior analysis subject to the general care management provisions of the plan, and may be subject to dollar limits, deductibles, copayments, or coinsurance provisions that apply to other medical or surgical services covered under the policy. The coverage for applied behavior analysis shall provide an annual maximum benefit that may not be less than the following:

(1) Through age 6 $36,000

(2) Age 7 through age 13 $25,000

(3) Age 14 through age 18 $12,500

SDCL 58-17-158

SL 2015, ch 250, § 5.

Added by S.L. 2015, ch. 250,s. 5, eff. 1/1/2016.