South Dakota Codified Laws
Title 58 - Insurance
Chapter 17F - Network Adequacy Standards

Section 58-17F-1 - Definitions. - 58-17F-1. Definitions. Terms used in this chapter mean: (1)"Closed plan,"...

Section 58-17F-2 - Health benefit plan defined. - 58-17F-2. Health benefit plan defined. For the purposes of this...

Section 58-17F-3 - Medical director required for managed care plans. - 58-17F-3. Medical director required for managed care plans. Any managed...

Section 58-17F-4 - Health carrier to provide written information to prospective enrollees--Specific information required. - 58-17F-4. Health carrier to provide written information to prospective enrollees--Specific...

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

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

Section 58-17F-7 - Health carrier to ensure provider proximity to covered persons. - 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. - 58-17F-8. Health carrier to monitor provider ability, capacity, and authority--Financial...

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

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

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

Section 58-17F-12 - Provisions governing contractual arrangements between health carriers and intermediaries. - 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. - 58-17F-13. Sample contract forms to be filed with director--Material changes...

Section 58-17F-14 - Contract does not relieve health carrier of liability. - 58-17F-14. Contract does not relieve health carrier of liability. The...

Section 58-17F-15 - Remedies available to director against health carrier found not in compliance. - 58-17F-15. Remedies available to director against health carrier found not...

Section 58-17F-16 - Managed care contractor to register with director. - 58-17F-16. Managed care contractor to register with director. Each managed...

Section 58-17F-17 - Filing changes in registration information. - 58-17F-17. Filing changes in registration information. Any managed care contractor...

Section 58-17F-18 - Request for information from managed care contractor. - 58-17F-18. Request for information from managed care contractor. The director...

Section 58-17F-19 - Activities of nonregistered managed care contractor prohibited. - 58-17F-19. Activities of nonregistered managed care contractor prohibited. No managed...

Section 58-17F-20 - Registration fee for managed care contractor. - 58-17F-20. Registration fee for managed care contractor. The director may...

Section 58-17F-21 - Promulgation of rules. - 58-17F-21. Promulgation of rules. The director may, after consultation with...