67:16:36:08Utilization
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Rulemaking activity
review. Utilization review of hospice services may be conducted on three levels: (1) Claims review; (2) Auditing; and (3) Post-payment review.
Source: 37 SDR 127, effective December 27, 2010.
General Authority
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions
Law Implemented
- SDCL 2010-12 ↗
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions