S.D. Admin. R. 20:06:54:04

Current through Register Vol. 51, page 67, December 16, 2024

Section 20:06:54:04 - Reasonable medical management allowed

Nothing prevents a plan or issuer from using reasonable medical management techniques to determine the frequency, method, treatment, or setting for an item or service described in § 20:06:54:01 to the extent not specified in the recommendation or guideline.

S.D. Admin. R. 20:06:54:04

37 SDR 63, effective 9/23/2010; 37 SDR 111, effective 12/7/2010.

General Authority: SDCL 58-17-87, 58-18-79.

Law Implemented: SDCL 58-17-1.1, 58-17-1.2, 58-17-62, 58-17-87, 58-17-98, 58-18-36, 58-18-41, 58-18-79, 58-18-80, 58-18-83.