State of South Dakota

South Dakota Legislature

Administrative Rules

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Rule 67:16:26 THIRD-PARTY LIABILITY

CHAPTER 67:16:26

THIRD-PARTY LIABILITY

Section

67:16:26:01        Definitions.

67:16:26:02        Responsibility for reporting of third-party liability -- Recipients.

67:16:26:03        Responsibility for reporting of third-party liability -- Applicants.

67:16:26:04        Provider notification of third-party liability.

67:16:26:05        Provider must collect from third-party source before submitting claim to department -- Medical assistance program payer of last resort -- Payment provision.

67:16:26:06        Repealed.

67:16:26:07        Department determination of possible existence of third-party source -- Claim denial.

67:16:26:07.01   Payment provisions when third-party source involves Medicare.

67:16:26:07.02   Certain claims eligible for payment before third-party benefits recovered -- Department to pursue reimbursement.

67:16:26:07.03   Provider may not pursue payment from recipient when third-party liability established.

67:16:26:08        Reimbursement from third-party collections.

67:16:26:09        Claims review.

67:16:26:10        Application of chapter.


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