67:16:03:06.03Basis of reimbursement -- Inpatient services -- In-state critical access hospitals.

Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗

Rulemaking activity

Article 67:15 (LIEAP), Article 67:16 (MS - Transportation) Article 67:18 (Child Support Enforcement), Article 67:42 (Family Foster Homes), Article 67:46 (Economic Assistance)Effective

Reimbursement for in-state critical access hospitals is made using a percent of charge rate that approximates a minimum of one hundred percent of cost, not to exceed ninety-five percent of billed charges. The percent of charge rates are published on the department's fee schedule website.

Source: 15 SDR 2, effective July 17, 1988; 16 SDR 235, effective July 5, 1990; 22 SDR 143, effective May 9, 1996; 25 SDR 116, effective March 24, 1999; 52 SDR 126, effective July 1, 2026.

General Authority

SDCL 28-6-1 ↗
Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes o
Amended by HB1229 (2019) — require optional services through Medicaid to be authorized through special appr
Amended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions

Law Implemented

SDCL 28-6-1 ↗
Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes o
Amended by HB1229 (2019) — require optional services through Medicaid to be authorized through special appr
Amended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions
SDCL 28-6-1.1 ↗
Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes o

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