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Administrative Rules
Rule 20:06:53:48 Independent review organization decision and notice for experimental or investigational treatment reviews.

          20:06:53:48.  Independent review organization decision and notice for experimental or investigational treatment reviews. Except as provided in § 20:06:53:49, within 20 days after the date it receives the opinion of each clinical reviewer pursuant to § 20:06:53:47, the assigned independent review organization, in accordance with § 20:06:53:50, shall make a decision and provide written notice of the decision to the covered person, the covered person's authorized representative, the health carrier, and the director.

 

          Source: 37 SDR 48, effective September 22, 2010; 37 SDR 241, effective July 1, 2011.

          General Authority: SDCL 58-17-87, 58-17H-49, 58-17I-16, 58-18-79.

          Law Implemented: SDCL 58-17-87, 58-18-79.

 

Online Archived History: