Utilization review.
Effective Sep 11, 199017 SDR 37Source: SL 1975, ch 16, § 1; 2 SDR 74, effective May 13, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 15 SDR 167, effective May 11, 1989; 17 SDR 37, effective September 11, 1990. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.
Utilization review for EPSDT services may be conducted on three levels:
- (1) Computerized claims processing;
- (2) Postpayment review; and
- (3) Peer review.
Source: SL 1975, ch 16, § 1; 2 SDR 74, effective May 13, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 15 SDR 167, effective May 11, 1989; 17 SDR 37, effective September 11, 1990.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.