South Dakota Statutes

§ 58-17H-49 — Promulgation of rules.

South Dakota·Title 58 INSURANCE·Ch. 58-17E UTILIZATION REVIEW AND BENEFIT DETERMINATIONS

The director may, after consultation with the secretary, promulgate rules, pursuant to chapter 1-26 , to carry out the provisions of this chapter. The rules shall provide for a timely administration of utilization review by the public and assure that utilization review decisions are made in a fair and clinically acceptable manner. The rules may include the following:

(1)Definition of terms;
(2)Timing, form, and content of reports;
(3)Application of clinical criteria as it relates to utilization review;
(4)Written determinations; and (5) Utilization review procedures. The director may promulgate rules, pursuant to chapter 1-26 , pertaining to claims for group disability income plans. The rules shall be consistent with applicable federal requirements included in 29 CFR Par

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Legislative History

SL 2011, ch 219, § 74.

Nearby Sections

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