South Dakota Administrative Rules
Title 47 - Department of Labor And Regulation
Article 47:03 - Workers' compensation
Chapter 47:03:04 - Case management plans for workers' compensation
Section 47:03:04:07 - Access to all health care disciplines

Universal Citation: SD Admin Rules 47:03:04:07
Current through Register Vol. 51, page 43, September 23, 2024

The department may deny certification or may revoke or suspend the certification of a case management plan that unfairly restricts access within the case management plan to any medical provider. A plan unfairly restricts access when access is denied to a medical provider and the treatment or service sought is within the scope of practice of the profession and is proper under the treatment standards adopted by the plan and approved by the department. The plan must give employees convenient access to all categories of providers and flexibility to choose medical providers from among those who provide services under the plan.

General Authority: SDCL 58-20-24, 62-5-21.

Law Implemented: SDCL 58-20-24, 62-5-21.

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