S.D. Admin. R. 67:16:12:06

Current through Register Vol. 51, page 54, October 28, 2024

Section 67:16:12:06 - Claim requirements

A claim for services covered under § 67:16:12:02 must be submitted according to the following:

(1) If the claim relates to a physician's service, follow the claim requirements of chapter 67:16:02;

(2) If the claim relates to hospital services, follow the claim requirements of chapter 67:16:03;

(3) If the claim relates to home health services, follow the claim requirements of chapter 67:16:05;

(4) If the claim relates to clinic services, follow the claim requirements of chapter 67:16:13;

(5) If the claim relates to prescription drugs, follow the claim requirements of chapter 67:16:14;

(6) If the claim relates to ambulatory surgical center services, follow the claim requirements of chapter 67:16:28; and

(7) If the claim relates to federally qualified health centers and rural health clinic services, follow the claim requirements of chapter 67:16:44.

S.D. Admin. R. 67:16:12:06

17 SDR 4, effective 7/16/1990; 34 SDR 68, effective 9/12/2007.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.