S.D. Admin. R. 67:16:36:05

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

Section 67:16:36:05 - Reimbursement for room and board

A recipient's room and board is covered through the hospice benefit under the following circumstances:

(1) If a recipient is receiving routine home care in an inpatient hospice; or

(2) If a recipient is receiving routine home care or continuous home care in a skilled nursing facility, ICF-IID, or swing bed.

For a recipient receiving routine home care or continuous home care in a skilled nursing facility, ICF-IID, or swing bed, the hospice provider is paid 95% of the per diem rate that would have been paid to the facility. The facility is paid by the hospice provider pursuant to their written agreement as required by 42 C.F.R. § 418.112, as amended to January 1, 2010.

S.D. Admin. R. 67:16:36:05

37 SDR 127, effective 12/27/2010; 40 SDR 122, effective 1/8/2014.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.