ARSD 67:54:09:23 – Utilization review. | Midpage

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Administrative Rules of South Dakota

Chapter 67:54:09

§ 67:54:09:23

ARSD 67:54:09:23

Utilization review.

Effective May 7, 200834 SDR 271Source: 34 SDR 271, effective May 7, 2008. | 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 review and redetermination of eligibility.

Source: 34 SDR 271, effective May 7, 2008.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.