South Dakota Statutes
§ 58-17H-17 — Utilization review program to use documented clinical review criteria--Criteria to be available to authorized agencies upon request.
A utilization review program shall use documented clinical review criteria that are based on sound clinical evidence and are evaluated periodically to assure ongoing efficacy. A health carrier may develop its own clinical review criteria, or it may purchase or license clinical review criteria from qualified vendors. A health carrier shall make available its clinical review criteria upon request to authorized government agencies including the Division of Insurance and the Department of Health. Commission Note:
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South Dakota § 58-17H-17 (Utilization review program to use documented clinical review criteria--Criteria to be available to authorized agencies upon request.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.
Legislative History
SL 2011, ch 219, § 42.
Nearby Sections
15
§ 58-1-1
Citation of title.§ 58-1-11
General saving clause.§ 58-1-13
Severability of provisions.§ 58-1-14
Notice of nonrenewal of policy must be mailed sixty days prior to renewal date--Exceptions.§ 58-1-14.1
Notice of refusal to renew--Thirty§ 58-1-16.1
Applicability of §§ 58-1-18
Repealed by SL 2012, ch 252, § 30.§ 58-1-2
Definition of terms.