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Rule 20:06:21:17 Converted policy from group -- Managed care plan defined.

          20:06:21:17.  Converted policy from group -- Managed care plan defined. For the purposes of ยงยง 20:06:21:09 to 20:06:21:16, inclusive, a managed-care plan is a health care or assisted living arrangement designed to coordinate patient care or control costs through utilization review, case management, or use of specific provider networks.

          Source: 22 SDR 97, effective December 18, 1995.

          General Authority: SDCL 58-17B-4.

          Law Implemented: SDCL 58-17B-5.1.

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