Utilization review.
Effective Jul 1, 199016 SDR 234Source: SL 1975, ch 16, § 1; 1 SDR 77, effective May 29, 1975; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 9 SDR 164, effective June 30, 1983; 16 SDR 234, effective July 1, 1990. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.
Utilization review for prescription drug services may be conducted on three levels:
- (1) Computerized claims processing;
- (2) Postpayment review; and
- (3) Peer review.
Source: SL 1975, ch 16, § 1; 1 SDR 77, effective May 29, 1975; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 9 SDR 164, effective June 30, 1983; 16 SDR 234, effective July 1, 1990.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.