ARSD 67:54:03:07 – Utilization review. | Midpage

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Administrative Rules of South Dakota

Chapter 67:54:03

§ 67:54:03:07

ARSD 67:54:03:07

Utilization review.

Effective Jan 8, 201440 SDR 122Source: 18 SDR 224, effective July 13, 1992; 37 SDR 133, effective January 18, 2011; 40 SDR 122, effective January 8, 2014. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.

Services provided by an ICF/IID are subject to utilization review on the following four levels:

(1) At the time of eligibility determination;
(2) After discharge from a hospital;
(3) During claims processing; or
(4) At the annual classification and review.

Source: 18 SDR 224, effective July 13, 1992; 37 SDR 133, effective January 18, 2011; 40 SDR 122, effective January 8, 2014.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.