S.D. Admin. R. 67:16:11:11

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

Section 67:16:11:11 - Utilization review

Utilization review for EPSDT services may be conducted on three levels:

(1) Computerized claims processing;

(2) Postpayment review; and

(3) Peer review.

S.D. Admin. R. 67:16:11:11

SL 1975, ch 16, § 1; 2 SDR 74, effective 5/13/1976; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 15 SDR 167, effective 5/11/1989; 17 SDR 37, effective 9/11/1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.