<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.s0251f6b3-148b-4582-9c03-ca1dbdddef6dP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0251f6b3-148b-4582-9c03-ca1dbdddef6d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dP0"><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:50:16"><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000000">67:16:50:16</span></a><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000001">.  </span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000001">Determination may not be countermanded</span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000001">.</span><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0"> </span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">The State Medicaid Authority may not countermand a Level II determination made by the State Mental Health Authority or State Intellectual Disability Authority either in the claims process or through other utilization control or review processes</span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">.</span></p><p dir="ltr" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dP0"><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6d000002"> </span></p><p dir="ltr" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dP0"><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">    </span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000001">Source:</span><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0"> </span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">52 SDR 41, effective October 27, 2025</span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">.</span></p><p dir="ltr" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dP0"><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">    </span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000001">General Authority:</span><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000003">1-36-25</span></a><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">.</span></p><p dir="ltr" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dP0"><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">    </span><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000001">Law Implemented:</span><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0-000003">28-6-1</span></a><span class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dC0">.</span></p><p dir="ltr" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6dP0"><span xml:space="preserve" class="s0251f6b3-148b-4582-9c03-ca1dbdddef6d000002"> </span></p></div></body></html>