67:48:04:02Policyholder to reimburse department for
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
services paid by both Medicaid and insurance -- Time limit for reimbursing department. A policyholder must reimburse the department if the policyholder receives reimbursement from the policyholder's insurance company for medical services paid by the department on behalf of an individual who is Medicaid-eligible and covered under the policyholder's insurance. The policyholder must reimburse the department within 45 days after receiving the payment from the insurance company. Failure to reimburse the department within the time limit shall result in an action against the policyholder to recover the payment.
Source: 26 SDR 162, effective June 14, 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