S.D. Admin. R. 67:16:03:07

Current through Register Vol. 51, page 57, November 12, 2024

Section 67:16:03:07 - Payment of hospital services

Payments to hospitals for services provided to eligible individuals shall be made for medically necessary services provided on an inpatient or outpatient basis and for deductibles and coinsurance under the Medicare program.

A readmission within 72 hours from the time of discharge to the same hospital for a related diagnosis is considered a continuation of the prior admission for payment purposes.

Readmission or return to a hospital following a leave of absence, regardless of length, is not considered a separate admission.

S.D. Admin. R. 67:16:03:07

SL 1975, ch 16, § 1; 1 SDR 30, effective 10/13/1974; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 9 SDR 164, effective 6/30/1983; 16 SDR 239, effective 7/9/1990; 17 SDR 180, effective 5/27/1991; 40 SDR 122, effective 1/7/2014.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

Services not covered, § 67:16:01:08.