<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s39cdae17-3bb4-464a-9249-e705d485422fNormal { text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-top: 0; margin-left: 0; margin-right: 0; margin-bottom: .001pt; } span.s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000000 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000001 { color: #0000FF; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s39cdae17-3bb4-464a-9249-e705d485422f000002 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s39cdae17-3bb4-464a-9249-e705d485422fNormal"><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont">    </span><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000000">20:06:21:17.  Converted policy from group -- Managed care plan defined.</span><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont"> For the purposes of §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:06:21:09"><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000001">20:06:21:09</span></a><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont"> to </span><a href="https://sdlegislature.gov/Rules?Rule=20:06:21:16"><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000001">20:06:21:16</span></a><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont">, 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.</span></p><p dir="ltr" class="s39cdae17-3bb4-464a-9249-e705d485422fNormal"><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422f000002"> </span></p><p dir="ltr" class="s39cdae17-3bb4-464a-9249-e705d485422fNormal"><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont">    </span><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000000">Source:</span><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont"> 22 SDR 97, effective </span><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont">December 18, 1995.</span></p><p dir="ltr" class="s39cdae17-3bb4-464a-9249-e705d485422fNormal"><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont">    </span><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000000">General Authority:</span><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-4"><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000001">58-17B-4</span></a><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont">.</span></p><p dir="ltr" class="s39cdae17-3bb4-464a-9249-e705d485422fNormal"><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont">    </span><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000000">Law Implemented:</span><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=58-17B-5.1"><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont-000001">58-17B-5.1</span></a><span class="s39cdae17-3bb4-464a-9249-e705d485422fDefaultParagraphFont">.</span></p><p dir="ltr" class="s39cdae17-3bb4-464a-9249-e705d485422fNormal"><span xml:space="preserve" class="s39cdae17-3bb4-464a-9249-e705d485422f000002"> </span></p></div></body></html>