Individuals eligible for Medicare must apply to Medicare for coverage of any proposed transplant. A decision by Medicare that a transplant would not be covered by the Medicare program because the individual fails to meet the Medicare patient selection criteria is binding on the medical assistance program.
S.D. Admin. R. 67:16:31:05
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.