South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:44 - Federally qualified health centers and rural health clinics
Section 67:16:44:13 - Utilization review
Universal Citation: SD Admin Rules 67:16:44:13
Current through Register Vol. 51, page 43, September 23, 2024
Utilization review for FQHC or RHC services may be conducted on the following levels:
(1) Computerized claims processing;
(2) Post payment review; and
(3) Peer reviews.
General Authority: SDCL 28-6-1(4).
Law Implemented: SDCL 28-6-1(4).
Disclaimer: These regulations may not be the most recent version. South Dakota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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