67:16:35:02Verification of eligibility before claim
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Rulemaking activity
submitted. Before a provider submits a claim, the provider must verify an individual's eligibility for the medical assistance program by requesting the individual to produce either the individual's medical assistance identification card or a letter from the department which verifies the individual's eligibility. The provider must verify and record the recipient identification as required for the claim.
Source: 17 SDR 4, effective July 16, 1990; 26 SDR 168, effective July 1, 2000.
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