South Dakota South Dakota 2018 I.  Scope and Applicability A.  Who is subject to the state’s utilization management regulations? HMOs? Yes. Insurers? Yes. Utilization review organizations? Yes. ACOs? Yes. PPOs? Yes. Third party administrators? Yes. B.  What term does the state use to refer to regulated entities? A utilization review organization is an entity that […]

To access this content, please login or click here to subscribe