S.D. Admin. R. 67:16:26:02

Current through Register Vol. 51, page 57, November 12, 2024
Section 67:16:26:02 - Responsibility for reporting of third-party liability - Recipients

As a condition of eligibility, a recipient must report to and cooperate with the department in securing information on and payments from third-party liability sources. Information must be reported to the department as soon as the recipient is aware of or has reason to believe that a third-party liability source exists.

Information to be reported includes items such as the name of the policy holder, the policy holder's relationship to the recipient, the policy holder's social security number, the name and address of the insurance company, and the policy number.

Cooperation includes providing the name and address of any legal representative retained by or on behalf of the recipient to pursue litigation for any accident or trauma which resulted in payment by the department for services.

S.D. Admin. R. 67:16:26:02

7 SDR 23, effective 9/18/1980; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 16 SDR 226, effective 6/24/1990.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

Assignment of rights to benefits, 42 C.F.R. § 435.610.