S.D. Admin. R. 20:06:58:08

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

Section 20:06:58:08 - Parity requirements with respect to financial requirements and treatment limitations - Clarification of type of financial requirement or treatment limitation

For purposes of §§ 20:06:58:07 to 20:06:58:25, inclusive, when referring to a type of financial requirement or treatment limitation, the type means its nature. Types of financial requirements include deductibles, co-payments, coinsurance, and out-of-pocket maximums. Types of quantitative treatment limitations include annual, episode, and lifetime day and visit limits.

41 SDR 93, effective 12/3/2014.

General Authority: SDCL 58-17-87, 58-18-79, 58-18-79(1), 58-18-79(15).

Law Implemented: SDCL 58-17-87, 58-18-79, 58-18-80.

Illustrative list of nonquantitative treatment limitations, § 20:06:58:24.