South Dakota · Regulations
Chapter 20:06:58 — Mental Health Parity
45 sections
45 sections
- ARSD 20:06:58:01ARSD 20:06:58:01. Definitions
- ARSD 20:06:58:02ARSD 20:06:58:02. Parity requirements with respect to aggregate lifetime and annual dollar limits
- ARSD 20:06:58:03ARSD 20:06:58:03. Plan with no limit or limits on less than one-third of all medical or surgical benefits
- ARSD 20:06:58:04ARSD 20:06:58:04. Plan with a limit on at least two-thirds of all medical or surgical benefits
- ARSD 20:06:58:05ARSD 20:06:58:05. Determining one-third and two-thirds of all medical or surgical benefits
- ARSD 20:06:58:06ARSD 20:06:58:06. Plan not described in sections 20:06:58:03 or 20:06:58:04 of this chapter
- ARSD 20:06:58:07ARSD 20:06:58:07. Parity requirements with respect to financial requirements and treatment limitations -- Clarification of classification of benefits
- ARSD 20:06:58:08ARSD 20:06:58:08. Parity requirements with respect to financial requirements and treatment limitations -- Clarification of type of financial requirement or treatment limitation
- ARSD 20:06:58:09ARSD 20:06:58:09. Parity requirements with respect to financial requirements and treatment limitations -- Clarification of level of a type of financial requirement or treatment limitation
- ARSD 20:06:58:10ARSD 20:06:58:10. Parity requirements with respect to financial requirements and treatment limitations -- Clarification of coverage unit
- ARSD 20:06:58:11ARSD 20:06:58:11. General parity requirement
- ARSD 20:06:58:12ARSD 20:06:58:12. Classifications of benefits used for applying rules
- ARSD 20:06:58:13ARSD 20:06:58:13. Application to out-of-network providers
- ARSD 20:06:58:14ARSD 20:06:58:14. Financial requirements and quantitative treatment limitations -- Determining substantially all
- ARSD 20:06:58:15ARSD 20:06:58:15. Financial requirements and quantitative treatment limitations -- Determining predominant
- ARSD 20:06:58:16ARSD 20:06:58:16. Financial requirements and quantitative treatment limitations -- Determining portion based on plan payments
- ARSD 20:06:58:17ARSD 20:06:58:17. Financial requirements and quantitative treatment limitations -- Determining clarifications for certain threshold requirements and dollar amount of plan payments
- ARSD 20:06:58:18ARSD 20:06:58:18. Application to different coverage units
- ARSD 20:06:58:19ARSD 20:06:58:19. Special rule for multi-tiered prescription drug benefits
- ARSD 20:06:58:20ARSD 20:06:58:20. Special rule for multiple network tiers
- ARSD 20:06:58:21ARSD 20:06:58:21. Special rule for sub-classifications permitted for office visits, separate from other outpatient services
- ARSD 20:06:58:22ARSD 20:06:58:22. No separate cumulative financial requirements or cumulative quantitative treatment limitations
- ARSD 20:06:58:23ARSD 20:06:58:23. Nonquantitative treatment limitations
- ARSD 20:06:58:24ARSD 20:06:58:24. Illustrative list of nonquantitative treatment limitations
- ARSD 20:06:58:25ARSD 20:06:58:25. Exemptions
- ARSD 20:06:58:26ARSD 20:06:58:26. Availability of plan information -- Criteria for medical necessity determinations
- ARSD 20:06:58:27ARSD 20:06:58:27. Availability of plan information -- Reasons for denial
- ARSD 20:06:58:28ARSD 20:06:58:28. Applicability and effective dates -- Group health plans
- ARSD 20:06:58:29ARSD 20:06:58:29. Applicability and effective dates -- Health insurance issuers
- ARSD 20:06:58:30ARSD 20:06:58:30. Scope
- ARSD 20:06:58:31ARSD 20:06:58:31. Coordination with EHB requirements
- ARSD 20:06:58:32ARSD 20:06:58:32. Small employer exemption
- ARSD 20:06:58:33ARSD 20:06:58:33. Determining employer size
- ARSD 20:06:58:34ARSD 20:06:58:34. Increased cost exemption
- ARSD 20:06:58:35ARSD 20:06:58:35. Applicable percentage
- ARSD 20:06:58:36ARSD 20:06:58:36. Determinations by actuaries
- ARSD 20:06:58:37ARSD 20:06:58:37. Formula
- ARSD 20:06:58:38ARSD 20:06:58:38. Six month determination
- ARSD 20:06:58:39ARSD 20:06:58:39. Notification
- ARSD 20:06:58:40ARSD 20:06:58:40. Participants and beneficiaries -- Content of notice
- ARSD 20:06:58:41ARSD 20:06:58:41. Use of summary of material reductions in covered services or benefits
- ARSD 20:06:58:42ARSD 20:06:58:42. Delivery
- ARSD 20:06:58:43ARSD 20:06:58:43. Availability of documentation
- ARSD 20:06:58:44ARSD 20:06:58:44. Sale of nonparity health insurance coverage
- ARSD 20:06:58:45ARSD 20:06:58:45. Special effective date for certain collective-bargained plans