S.D. Admin. R. 67:16:01:22

Current through Register Vol. 50, page 162, June 24, 2024

Section 67:16:01:22 - Cost-sharing participants

All individuals are required to participate in cost sharing. Individuals exempt from cost sharing include:

(1) Individuals under age 21;

(2) Individuals receiving hospice care;

(3) Individuals residing in a long-term care facility or receiving home and community-based services;

(4) American Indians who have ever received an item or service furnished by an Indian Health Services (IHS) provider or through referral under contract health services; and

(5) Individuals eligible through the Breast and Cervical Cancer program. Cost sharing is required for the services designated in chapters 67:16:02, 67:16:03, 67:16:06, 67:16:07, 67:16:08, 67:16:09, 67:16:13, 67:16:14, 67:16:28, 67:16:29, 67:16:41, 67:16:42, 67:16:44, and 67:16:46. Cost sharing is limited to the amount specified on the departments cost sharing website.

S.D. Admin. R. 67:16:01:22

9 SDR 164, effective 6/30/1983; 11 SDR 86, effective 12/30/1984; 14 SDR 46, effective 9/28/1987; 16 SDR 114, effective 1/15/1990; 22 SDR 6, effective 7/26/1995; 22 SDR 32, effective 9/11/1995; 23 SDR 109, effective 1/5/1997; 28 SDR 84, effective 12/20/2001; 31 SDR 191, effective 6/8/2005; 35 SDR 88, effective 10/23/2008; 37 SDR 53, effective 9/23/2010; 40 SDR 122, effective 1/7/2014; 42 SDR 51, effective 10/13/2015

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

Cost sharing: Basis and purpose, 42 C.F.R. § 447.50.