Section 58-17C-43 - Health carrier oversight of delegated activities--Requirements. - South Dakota Statutes

58-17C-43. Health carrier oversight of delegated activities--Requirements. If a health carrier delegates any utilization review activities to a utilization review organization, the health carrier shall maintain adequate oversight, which shall include:
(1) A written description of the utilization review organization's activities and responsibilities, including reporting requirements;
(2) Evidence of formal approval of the utilization review organization program by the health carrier; and
(3) A process by which the health carrier evaluates the performance of the utilization review organization.

Source: SL 1999, ch 243, § 11.