Current through Register Vol. 51, page 71, January 6, 2025
Section 46:32:01:01 - DefinitionsTerms 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.