§ 67:16:09:06

ARSD 67:16:09:06

Utilization review.

Effective Jun 24, 199016 SDR 227Source: SL 1975, ch 16, § 1; 1 SDR 77, effective May 29, 1975; repealed, 3 SDR 26, effective October 6, 1976; readopted, 5 SDR 109, effective July 1, 1979; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 227, effective June 24, 1990. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.

Utilization review of services covered under this chapter may be conducted on any of the following three levels:

(1) Computerized claims processing;
(2) Postpayment review; and
(3) Peer reviews.

Source: SL 1975, ch 16, § 1; 1 SDR 77, effective May 29, 1975; repealed, 3 SDR 26, effective October 6, 1976; readopted, 5 SDR 109, effective July 1, 1979; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 227, effective June 24, 1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.