67:46:11:13Payment limits.

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
Chapter 67:11:01 and Chapter 67:46 Eligibility for Medical ServicesEffective

If an individual is eligible for QMB, payment is limited to Medicare premiums, deductibles, coinsurance, and copayment for Part A and Part B of Medicare. If an individual is eligible for SLMB, payment is limited to the Part B Medicare premium. If an individual is eligible for QI, payment is limited to the Part B Medicare premium. The department may discontinue services provided under the provisions of this chapter if the department exhausts its financial resources for providing the services.

Source: 15 SDR 171, effective May 15, 1989; transferred from § 67:16:30:13, effective August 23, 1992; 19 SDR 141, effective March 25, 1993; 41 SDR 93, effective December 3, 2014.

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

← 67:46:11:12