S.D. Admin. R. 67:16:01:07

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

Section 67:16:01:07 - State payment as payment in full - Individual responsible for payment of noncovered services

Payments under this article made on behalf of an eligible individual together with the individual's cost-sharing amount, if cost sharing is required, are considered payment in full for medical services covered under the provisions of this article. No additional charges may be made to family, friends, political subdivisions, or the eligible individual unless the service provided was a noncovered medical service. The eligible individual is responsible for the payment of any noncovered service.

A claim submitted to the department under the provisions of § 67:16:03:06.15 is considered to be paid in full even if no additional payment is made by the department.

S.D. Admin. R. 67:16:01:07

SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 9 SDR 164, effective 6/30/1983; 11 SDR 26, effective 8/21/1984; 28 SDR 166, effective 6/12/2002.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

Services not covered, § 67:16:01:08.