67:45:02:11.  Utilization review. Claims and payments for nursing facility care, adult foster care, or assisted living are subject to review on the following levels:

          (1)  At the time of admission;

          (2)  Computerized claims review and audit; and

          (3)  Annual care classification review.

          Source: 18 SDR 67, effective October 13, 1991; 22 SDR 16, effective August 17, 1995.

          General Authority: SDCL 28-6-1.

          Law Implemented: SDCL 28-6-1.