67:54:05:07Utilization review.
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Services provided under this chapter are subject to utilization review on the following four levels: (1) At the time of the admission; (2) During claims processing; (3) At the annual redetermination review; and (4) After payment.
Source: 20 SDR 170, effective April 18, 1994.
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