67:54:03:07Utilization review.
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Services provided by an ICF/IID are subject to utilization review on the following four levels: (1) At the time of eligibility determination; (2) After discharge from a hospital; (3) During claims processing; or (4) At the annual classification and review.
Source: 18 SDR 224, effective July 13, 1992; 37 SDR 133, effective January 18, 2011; 40 SDR 122, effective January 8, 2014.
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