South Dakota Codified Laws 58-17-158. Authorization, prior approval, and other care management requirements–Annual maximum benefit
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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
Terms Used In South Dakota Codified Laws 58-17-158
- Person: includes natural persons, partnerships, associations, cooperative corporations, limited liability companies, and corporations. See South Dakota Codified Laws 2-14-2
(2) Age 7 through age 13 $25,000
(3) Age 14 through age 18 $12,500
Source: SL 2015, ch 250, § 5.