South Dakota Codified Laws
Chapter 17F - Network Adequacy Standards
Section 58-17F-20 - Registration fee for managed care contractor.

58-17F-20. Registration fee for managed care contractor.
The director may require the payment of a fee in conjunction with the initial or annual registration of a managed care contractor not to exceed two hundred fifty dollars per registration. The fee shall be established by rules promulgated pursuant to chapter 1-26. (SL 2012, ch 239, §1 provides: "The provisions of chapter 219 of the 2011 Session Laws shall be deemed repealed if the Patient Protection and Affordable Care Act, Pub.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, §20.

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.