§ 67:16:12:04

ARSD 67:16:12:04

Utilization review.

Effective Jun 25, 199016 SDR 227Source: SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 227, effective June 25, 1990. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.

The department may conduct utilization reviews for family planning services on the following levels:

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

Source: SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 227, effective June 25, 1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.