67:16:03:06.07.  Reimbursement of outpatient laboratory services. Outpatient laboratory services are reimbursed according to the outpatient laboratory fee schedule located on the department's website at http://www.dss.sd.gov/medicalservices/providerinfo/feeschedule.asp. If no fee for a procedure is established, reimbursement is 60 percent of the actual charge for the service.

          The laboratory services and associated rates of payment are subject to review and amendment under the provisions of § 67:16:01:28.

          Costs for outpatient laboratory services incurred within three days immediately preceding an inpatient stay are included in the inpatient charges unless the outpatient laboratory service is not related to the inpatient stay. This provision applies only if the facilities providing the services are owned by the same entity.

          Source: 17 SDR 180, effective May 27, 1991; 24 SDR 144, April 30, 1998; 30 SDR 26, effective September 3, 2003; 35 SDR 49, effective September 10, 2008; 37 SDR 236, effective June 28, 2011; 37 SDR 236, adopted June 8, 2010, effective July 1, 2012.

          General Authority: SDCL 28-6-1(2), 28-6-1.1.

          Law Implemented: SDCL 28-6-1(2), 28-6-1.1.