Review of treatment

SDCL § 58-17-160 — under HEALTH INSURANCE POLICIES.

SDCL § 58-17-160

A health carrier or plan provider subject to §§ 58-17-154 to 58-17-162 , inclusive, shall have the right to request a review of the treatment that a person is receiving not more than once every three months unless the insurer and the person's licensed physician or licensed psychologist execute an agreement that a more frequent review is necessary. Any agreement regarding the right to review a treatment plan more frequently applies only to a particular person receiving applied behavior analysis and may not apply to all persons receiving applied behavior analysis by a licensed physician, licensed psychologist, or licensed behavior analyst. The cost of obtaining a review under this section shall be paid by the health carrier or plan. Source: SL 2015, ch 250 , § 7; SL 2017, ch 212 , § 3, eff. Jan. 1, 2018.