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Code · South Dakota · Title 58 · Chapter 58-17

58-17H-49. Promulgation of rules.

127 words·~1 min read·/sd/title-58/chapter-58-17/58-17h-49·

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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 Part 2560 as amended to January 1, 2011.
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