S.D. Admin. R. 67:45:02:11

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

Section 67:45:02:11 - Utilization review

Claims and payments for nursing facility care, adult foster care, or assisted living are subject to review on the following levels:

(1) At the time of admission;

(2) Computerized claims review and audit; and

(3) Annual care classification review.

S.D. Admin. R. 67:45:02:11

18 SDR 67, effective 10/13/1991; 22 SDR 16, effective 8/17/1995.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.