S.D. Admin. R. 46:32:01:01

Current through Register Vol. 51, page 46, September 30, 2024

Section 46:32:01:01 - Definitions

Terms used in this chapter mean:

(1) "Applied adjustments," the difference between a patient's total itemized bill and any previously agreed upon, contractual, or legislated agreement with a respective payor;

(2) "BFM," the Bureau of Finance and Management;

(3) "Contract," the payor classification in which a patient, legally responsible person, nongovernment agency, or business entity has a contractual agreement with the HSC for the provision of mental health or chemical dependency services, or both;

(4) "Dispensing fee," pharmaceutical handling fee to recover the cost of pharmacy labor;

(5) "ECT," electro convulsive therapy;

(6) "HSC," the Human Services Center in Yankton, SD;

(7) "Medical procedure," ECT, laboratory, specialty clinic, or x-ray service;

(8) "Off-site medical treatment," medical treatment at a facility other than HSC that is provided to a patient;

(9) "Per diem," daily patient cost for a course of treatment as provided in 27A-13-7;

(10) "Private pay," the payor classification in which a patient, legally responsible person, or agency does not have health insurance coverage;

(11) "Professional fee," the cost of providing the services of a medical doctor, physician-assistant, nurse practitioner, or psychologist services;

(12) "Room rate," the cost of providing room, board, and direct care by a specific hospital treatment program;

(13) "Supplies," supplies provided to a patient during a course of treatment at the HSC.

S.D. Admin. R. 46:32:01:01

26 SDR 64, effective 11/16/1999.

General Authority: SDCL 27A-4-2, 27A-13-3.1, 27A-13-3.2.

Law Implemented: SDCL 27A-13-3.1, 27A-13-3.2.