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67:54:07:14Basis of payment -- Payment limits.

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

The Department of Human Services shall establish the rate of payment by June 1 each year. The rate of payment is based on reasonable and allowable costs reported on the cost report. If the services provided in a 24-hour period are up to but do not exceed five hours, payment is limited to one unit of service for the 24-hour period. If the services provided in a 24-hour period are five hours or more, payment is limited to two units of service for the 24-hour period.

Source: 23 SDR 8, effective July 21, 1996.

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