South Dakota HB1199 addresses preauthorization and reporting requirements for health carriers and utilization review organizations.

South Dakota HB1199 amends the state's health insurance laws to establish specific procedures for preauthorization and reporting by health carriers and utilization review organizations. The bill mandates that health carriers evaluate health care providers' qualifications for exemptions from preauthorization requirements annually. It outlines conditions under which a health carrier may withdraw an exemption, including when less than 90% of preauthorization requests were approved in the previous evaluation period.

South Dakota HB1199 addresses preauthorization and reporting requirements for health carriers and utilization review organizations.

South Dakota HB1199 amends the state's health insurance laws to establish specific procedures for preauthorization and reporting by health carriers and utilization review organizations. The bill mandates that health carriers evaluate health care providers' qualifications for exemptions from preauthorization requirements annually. It outlines conditions under which a health carrier may withdraw an exemption, including when less than 90% of preauthorization requests were approved in the previous evaluation period.