ARSD 67:16:44:13 – Utilization review. | Midpage

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Administrative Rules of South Dakota

Chapter 67:16:44

§ 67:16:44:13

ARSD 67:16:44:13

Utilization review.

Effective Oct 10, 201946 SDR 50Source: 23 SDR 109, effective January 5, 1997; 46 SDR 50, effective October 10, 2019. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1 (4) .

Utilization review for federally qualified health center or rural health clinic services may be conducted on the following levels:

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

Source: 23 SDR 109, effective January 5, 1997; 46 SDR 50, effective October 10, 2019.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1 (4) .

Prior versions effective: 1997-01-05.