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 §§ 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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