S.D. Admin. R. 22:02:02:08

Current through Register Vol. 51, page 56, November 4, 2024

Section 22:02:02:08 - Payment limits

If a county has negotiated final payment with a provider, the CCPR fund shall reimburse 90 percent of the negotiated amount, less the county's $20,000 share, if applicable.

The rate of reimbursement from the CCPR fund for a hospital expense may not exceed the limits established in SDCL 28-13-29.

If a county carries an individual over into a new 12-month period, the individual's medical expenses for the new 12-month period must exceed $20,000 before the individual's medical expenses are again eligible for reimbursement from the CCPR fund.

S.D. Admin. R. 22:02:02:08

11 SDR 144, effective 5/2/1985, and July 1, 1985; 25 SDR 69, effective 11/12/1998; transferred from § 67:19:02:08, 36 SDR 27, effective 8/26/2009.

General Authority: SDCL 28-13A-4.

Law Implemented: SDCL 28-13A-4, 28-13A-7.