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PierreReview

67:16:37:13Utilization review.

Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗

Rulemaking activity

Utilization review for school district services may be conducted on the following levels: (1) Computerized claims processing; (2) Postpayment review; and (3) Peer review.

Source: 18 SDR 78, effective November 4, 1991.

General Authority

  • SDCL 28-6-1 ↗
    Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes o
    Amended by HB1229 (2019) — require optional services through Medicaid to be authorized through special appr
    Amended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions

Law Implemented

  • SDCL 28-6-1 ↗
    Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes o
    Amended by HB1229 (2019) — require optional services through Medicaid to be authorized through special appr
    Amended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions
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