Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Terms defined in § 67:16:01:01 have the same meaning when used in this chapter. In addition, terms used in this chapter mean: (1) "BIA," the bureau of Indian affairs; (2) "Coinsurance," that portion of the medical costs allowable but not payable by Medicare and for which the individual is responsible; (3) "Deductible," the initial amount of allowable Medicare costs paid by the individual before Medicare begins paying; (4) "Medicare," the federal health insurance program available through the social security administration for certain disabled individuals and for individuals 65 years of age or older; (5) "OCSE," the office of child support enforcement within the department of social services; (6) "Part A," insurance available through the Medicare program to help pay for medically necessary hospice or home health care or care in a hospital or skilled nursing facility; (7) "Part B," insurance available through the Medicare program to help pay for medically necessary physician services, outpatient hospital services, and medical supplies; (8) "Qualifying Individual" or "QI," a person who meets the requirements of this chapter and who is not otherwise eligible for Medicaid benefits and for whom the state pays the Part B Medicare premium; (9) "Qualified Medicare beneficiary" or "QMB," a person who meets the requirements of this chapter and for whom the state pays the Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments; (10) "SCORE," the service corps of retired executives; (11) "Special low-income Medicare beneficiary" or "SLMB," a person who meets the requirements of this chapter and for whom the state pays the Part B Medicare premium; and (12) "VISTA," the volunteers in service to America.
Source: 15 SDR 171, effective May 15, 1989; transferred from § 67:16:30:01, effective August 23, 1992; 19 SDR 141, effective March 25, 1993; 41 SDR 93, effective December 3, 2014.