S.D. Admin. R. 67:16:37:14
A school district submitting a claim for covered services under this chapter must submit the claim at its usual and customary charge.
The school district must submit the claim when the service is listed in the child's care plan and is covered under this chapter. Services provided to an individual who has been admitted to a hospital as an inpatient, or who is residing in a residential treatment center, a nursing facility, or an intermediate care facility for individuals with intellectual disabilities are exempt from the provisions of this rule. Claims for these services must be submitted according to the applicable chapters of article 67:16.
A provider, other than those listed above, may not submit claims for services which the provider knows or should have known are services listed in the child's care plan.
S.D. Admin. R. 67:16:37:14
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.