Chapter 17f. Network Adequacy Standards
Index
- SDCL 58-17F-1 Definitions
- SDCL 58-17F-2 Health Benefit Plan Defined
- SDCL 58-17F-3 Medical Director Required For Managed Care Plans
- SDCL 58-17F-4 Health Carrier to Provide Written Information to Prospective Enrollees-Specific Information Required
- SDCL 58-17F-5 Health Carrier to Maintain Provider Network Sufficient to Assure Services Without Unreasonable Delay-Emergency Services-Determination of Sufficiency
- SDCL 58-17F-6 Where Provider Network Is Insufficient, Covered Benefit to Be Made Available At No Greater Cost
- SDCL 58-17F-7 Health Carrier to Ensure Provider Proximity to Covered Persons
- SDCL 58-17F-8 Health Carrier to Monitor Provider Ability, Capacity, and Authority-Financial Capability to Be Monitored In Capitated Plans
- SDCL 58-17F-9 Factors to Consider In Determining Network Adequacy
- SDCL 58-17F-10 Access Plan Required For Managed Care Plans-Annual Update-Contents-Exemptions For Discounted Fee-For-Service Networks
- SDCL 58-17F-11 Requirements For Health Carrier and Providers In Managed Care Plans
- SDCL 58-17F-12 Provisions Governing Contractual Arrangements Between Health Carriers and Intermediaries
- SDCL 58-17F-13 Sample Contract Forms to Be Filed With Director-Material Changes to Be Submitted-Certain Changes Not Material-Director's Inaction Within Certain Time Deemed Approval-Contract Copies to Be Provided Upon Request
- SDCL 58-17F-14 Contract Does Not Relieve Health Carrier of Liability
- SDCL 58-17F-15 Remedies Available to Director Against Health Carrier Found Not In Compliance
- SDCL 58-17F-16 Managed Care Contractor to Register With Director
- SDCL 58-17F-17 Filing Changes In Registration Information
- SDCL 58-17F-18 Request For Information From Managed Care Contractor
- SDCL 58-17F-19 Activities of Nonregistered Managed Care Contractor Prohibited
- SDCL 58-17F-20 Registration Fee For Managed Care Contractor
- SDCL 58-17F-21 Promulgation of Rules