Chapter
GRIEVANCE PROCEDURE
- S.D. Codified Laws § 58-17I-1— Definitions
- S.D. Codified Laws § 58-17I-2— Health benefit plan defined
- S.D. Codified Laws § 58-17I-3— Urgent care request defined
- S.D. Codified Laws § 58-17I-4— Register of grievances required--Information to be compiled--Maintenance
- S.D. Codified Laws § 58-17I-5— Repealed
- S.D. Codified Laws § 58-17I-6— Grievance procedures--Filing--Certificate of compliance--Contact information
- S.D. Codified Laws § 58-17I-7— Review of adverse determination--Time for filing--Designation and notice of reviewers--Scope of review
- S.D. Codified Laws § 58-17I-8— Rights of covered person or authorized representative on review--Access to documentation
- S.D. Codified Laws § 58-17I-9— Time for decision and notice--Calculation of time periods
- S.D. Codified Laws § 58-17I-10— Procedures for providing new or additional evidence
- S.D. Codified Laws § 58-17I-11— Issuance of decision--Required contents
- S.D. Codified Laws § 58-17I-12— Expedited review for adverse determinations involving urgent care requests--Appointment of peers for review
- S.D. Codified Laws § 58-17I-13— Transmission of necessary information for certain expedited reviews
- S.D. Codified Laws § 58-17I-14— Expedited review decision not initial determination for benefits--Notification--Time periods--Continuation of service involving concurrent review urgent care requests
- S.D. Codified Laws § 58-17I-15— Expedited review decision--Notification--Required contents
- S.D. Codified Laws § 58-17I-16— Promulgation of rules