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67:54:07:15Billing requirements.

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

Claims must be submitted at the provider's usual and customary charge and must contain the Procedure Code W5100. Claims must be submitted to the Department of Human Services. The Department of Human Services shall review the claims and forward the approved claims to the Department of Social Services for processing.

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