Medical and financial records must be retained for at least six years after the last claim is paid or denied. Records may not be destroyed if an audit or investigation is pending.

Medical and financial records must be retained in their original form or in a legally reproduced form, which may be electronic. Providers must have a medical record system that ensures the record may be accessed and retrieved promptly.

Source: 17 SDR 4, effective July 16, 1990; 17 SDR 184, effective June 6, 1991; 46 SDR 50, effective October 10, 2019.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1(2).

Prior versions effective: 1991-06-06.