Utilization review.
Effective Jul 1, 201326 SDR 150Source: 10 SDR 79, effective February 1, 1984; transferred from § 67:16:27:22, effective August 23, 1992; 26 SDR 150, effective May 21, 2000; SL 2013, ch 128, § 19, effective July 1, 2013. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.
Services provided under this chapter are subject to the following utilization reviews:
- (1) At the time of eligibility determination;
- (2) During claim processing;
- (3) During postpayment reviews; and
- (4) At the time of the annual redetermination of eligibility.
Source: 10 SDR 79, effective February 1, 1984; transferred from § 67:16:27:22, effective August 23, 1992; 26 SDR 150, effective May 21, 2000; SL 2013, ch 128, § 19, effective July 1, 2013.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.