67:16:49:07Utilization
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
review. Utilization review for travel services may be conducted on the following levels: (1) Computerized claims processing; (2) Postpayment review; and (3) Peer review.
Source: 44 SDR 94, effective December 4, 2017.
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 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