67:16:08:06.01Billing requirements.
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Claims must be submitted at the provider's usual and customary charge and must contain the applicable procedure codes for the covered services provided.
Source: 16 SDR 64, effective October 8, 1989; 16 SDR 235, effective July 5, 1990; 20 SDR 159, effective April 6, 1994; 35 SDR 49, effective September 10, 2008.
General Authority
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended 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 oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions