67:54:09:23Utilization review.
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Services provided under this chapter are subject to the following utilization reviews: (1) At the time of eligibility determination; (2) During claim processing; (3) During postpayment reviews; and (4) At the time of the annual review and redetermination of eligibility.
Source: 34 SDR 271, effective May 7, 2008.
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