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South Dakota Application for Certification of Managed Care Plan

State:
South Dakota
Control #:
SD-SKU-0660
Format:
PDF
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Description

Application for Certification of Managed Care Plan The South Dakota Application for Certification of Managed Care Plan is the process by which organizations can become certified to provide health care coverage to members in the state of South Dakota. The application is designed to ensure that managed care plans meet all applicable state and federal guidelines, including those related to quality, access, and cost. The application covers topics such as plan operations, quality assurance, and financial solvency, and includes a review of the managed care plan’s policies and procedures, its organizational structure, and its financial stability. There are two types of South Dakota Application for Certification of Managed Care Plan: the HMO Certification and the PPO Certification. The HMO Certification is required for any organization that wishes to become an HMO provider in the state of South Dakota, while the PPO Certification is required for any organization that wishes to become a PPO provider in the state.

The South Dakota Application for Certification of Managed Care Plan is the process by which organizations can become certified to provide health care coverage to members in the state of South Dakota. The application is designed to ensure that managed care plans meet all applicable state and federal guidelines, including those related to quality, access, and cost. The application covers topics such as plan operations, quality assurance, and financial solvency, and includes a review of the managed care plan’s policies and procedures, its organizational structure, and its financial stability. There are two types of South Dakota Application for Certification of Managed Care Plan: the HMO Certification and the PPO Certification. The HMO Certification is required for any organization that wishes to become an HMO provider in the state of South Dakota, while the PPO Certification is required for any organization that wishes to become a PPO provider in the state.

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South Dakota Application for Certification of Managed Care Plan