58-17F-16. Managed care contractor to register with director.
Each managed care contractor, as defined in §58-17F-1, shall register with the director prior to engaging in any managed care business in this state. The registration shall be in a format prescribed by the director. In prescribing the form or in carrying out other functions required by §§58-17F-16 to 58-17F-20, inclusive, the director shall consult with the secretary if applicable. The director or the secretary may require that the following information be submitted:
(1)Information relating to its actual or anticipated activities in this state;
(2)The status of any accreditation designation it holds or has sought;
(3)Information pertaining to its place of business, officers, and directors;
(4)Qualifications of review staff; and
(5)Any other information reasonable and necessary to monitor its activities in this state. (SL 2012, ch 239, §1 provides: "The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), as amended by the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat. 1029 (2010) is found to be unconstitutional in its entirety by a final decision of a federal court of competent jurisdiction and all appeals exhausted or time for appeals elapsed.")
Source: SL 2011, ch 219, §16.
Structure South Dakota Codified Laws
Chapter 17F - Network Adequacy Standards
Section 58-17F-1 - Definitions.
Section 58-17F-2 - Health benefit plan defined.
Section 58-17F-3 - Medical director required for managed care plans.
Section 58-17F-7 - Health carrier to ensure provider proximity to covered persons.
Section 58-17F-9 - Factors to consider in determining network adequacy.
Section 58-17F-11 - Requirements for health carrier and providers in managed care plans.
Section 58-17F-14 - Contract does not relieve health carrier of liability.
Section 58-17F-15 - Remedies available to director against health carrier found not in compliance.
Section 58-17F-16 - Managed care contractor to register with director.
Section 58-17F-17 - Filing changes in registration information.
Section 58-17F-18 - Request for information from managed care contractor.
Section 58-17F-19 - Activities of nonregistered managed care contractor prohibited.
Section 58-17F-20 - Registration fee for managed care contractor.