South Dakota Codified Laws
Chapter 17F - Network Adequacy Standards
Section 58-17F-17 - Filing changes in registration information.

58-17F-17. Filing changes in registration information.
Any managed care contractor which has previously registered in this state shall, on or before July first of each year, file with the Division of Insurance any changes to the initial or subsequent annual registration for the managed care contractor. (SL 2012, ch 239, §1 provides: "The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub.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, §17.

Structure South Dakota Codified Laws

South Dakota Codified Laws

Title 58 - Insurance

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-4 - Health carrier to provide written information to prospective enrollees--Specific information required.

Section 58-17F-5 - Health carrier to maintain provider network sufficient to assure services without unreasonable delay--Emergency services--Determination of sufficiency.

Section 58-17F-6 - Where provider network is insufficient, covered benefit to be made available at no greater cost.

Section 58-17F-7 - Health carrier to ensure provider proximity to covered persons.

Section 58-17F-8 - Health carrier to monitor provider ability, capacity, and authority--Financial capability to be monitored in capitated plans.

Section 58-17F-9 - Factors to consider in determining network adequacy.

Section 58-17F-10 - Access plan required for managed care plans--Annual update--Contents--Exemptions for discounted fee-for-service networks.

Section 58-17F-11 - Requirements for health carrier and providers in managed care plans.

Section 58-17F-12 - Provisions governing contractual arrangements between health carriers and intermediaries.

Section 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.

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.

Section 58-17F-21 - Promulgation of rules.