ARSD 20:06:54:03. Preventive items and services with out-of-network providers

Nothing in this section requires a plan or issuer that has a network of providers to provide benefits for items or services described in § 20:06:54:01 that are delivered by an out-of-network provider. Moreover, nothing in this section precludes a plan or issuer that has a network of providers from imposing cost-sharing requirements for items or services described in § 20:06:54:01 that are delivered by an out-of-network provider.