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67:16:46:10Utilization review.

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

The department may provide utilization review of diabetes self-management training covered under this chapter through computerized claims processing and postpayment review.

Source: 28 SDR 84, effective December 20, 2001; 49 SDR 21, effective September 12, 2022.

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