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67:48:01:03Medical benefit not subject to recovery if

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

error made by department. If a medical benefit is paid in error because of a mistake made by the department, the medical benefit paid in error is not subject to recovery. Instances of department error include items such as the following: (1) The department failed to take prompt action on a change reported by the individual or the individual's authorized representative; (2) The department incorrectly computed the individual's income, resources, or deductions; or (3) The department continued to provide the individual with medical benefits during the time the department was redetermining the individual's eligibility.

Source: 25 SDR 141, effective May 20, 1999.

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