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South Dakota · Through 2026-08-31 · Newer source version available

SDCL § 58-17-158: Authorization, prior approval, and other care management requirements--Annual maximum benefit.

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Where this section sits in the code
  1. TITLE 58. INSURANCE
  2. CHAPTER 58-17. HEALTH INSURANCE POLICIES

Coverage for an applied behavior analysis may be subject to pre-authorization, prior approval, and other care management requirements including limits on the number of individual visits a person may make for applied behavior analysis subject to the general care management provisions of the plan, and may be subject to dollar limits, deductibles, copayments, or coinsurance provisions that apply to other medical or surgical services covered under the policy. The coverage for applied behavior analysis shall provide an annual maximum benefit that may not be less than the following:

(1) Through age 6 $36,000

(2) Age 7 through age 13 $25,000

(3) Age 14 through age 18 $12,500

Collected 2026-09-03T15:18:57Z. Source file · JSON

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