20:06:53:74.  Continued coverage and ongoing treatment. A plan and issuer must provide continued coverage pending the outcome of an internal appeal of a concurrent review. A plan or issuer may not reduce or terminate an ongoing course of treatment without providing advance notice and an opportunity for advance review.

          Source: 37 SDR 63, effective September 23, 2010; 37 SDR 111, effective December 7, 2010.

          General Authority: SDCL 58-17-87, 58-18-79.

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