S.D. Admin. R. 20:06:13:14

Current through Register Vol. 51, page 67, December 16, 2024

Section 20:06:13:14 - Eligible expenses under Medicare

Eligible expenses under Medicare means medical expenses that are covered by Medicare to the extent recognized as reasonable and customary by Medicare. Payments, benefits, benefit periods, medical necessity, policy limitations, or exclusions may not be more restrictive than as used by Medicare.

S.D. Admin. R. 20:06:13:14

8 SDR 174, effective 7/1/1982; 12 SDR 151, 12 SDR 155, effective 7/1/1986; 16 SDR 174, effective 5/2/1990.

General Authority: SDCL 58-17A-2.

Law Implemented: SDCL 58-17A-2.