South Dakota § 58-17-158 Authorization, prior approval, and other care management requirements--Annual maximum benefit.

South Dakota Statutes

§ 58-17-158 — Authorization, prior approval, and other care management requirements--Annual maximum benefit.

South Dakota § 58-17-158

Title 58INSURANCE

Ch. 58-13HEALTH INSURANCE POLICIES

This text of South Dakota § 58-17-158 (Authorization, prior approval, and other care management requirements--Annual maximum benefit.) is published on Counsel Stack Legal Research, covering South Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

S.D. Codified Laws § 58-17-158 (2026).

Text

Coverage for an applied behavior analysis may be subject to pre-authorization, prior approval, and other care management requirements including limits on the number of individual visits a person may make for applied behavior analysis subject to the general care management provisions of the plan, and may be subject to dollar limits, deductibles, copayments, or coinsurance provisions that apply to other medical or surgical services covered under the policy. The coverage for applied behavior analysis shall provide an annual maximum benefit that may not be less than the following:

(1)Through age 6 $36,000 (2) Age 7 through age 13 $25,000 (3) Age 14 through age 18 $12,500

Free access — add to your briefcase to read the full text and ask questions with AI

Coverage for an applied behavior analysis may be subject to pre-authorization, prior approval, and other care management requirements including limits on the number of individual visits a person may make for applied behavior analysis subject to the general care management provisions of the plan, and may be subject to dollar limits, deductibles, copayments, or coinsurance provisions that apply to other medical or surgical services covered under the policy. The coverage for applied behavior analysis shall provide an annual maximum benefit that may not be less than the following: (1) Through age 6 $36,000 (2) Age 7 through age 13 $25,000 (3) Age 14 through age 18 $12,500