S.D. Admin. R. 67:16:12:04

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

Section 67:16:12:04 - Utilization review

The department may conduct utilization reviews for family planning services on the following levels:

(1) Computerized claims processing;

(2) Postpayment review; and

(3) Peer reviews.

S.D. Admin. R. 67:16:12:04

SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 16 SDR 227, effective 6/25/1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.