S.D. Admin. R. 67:46:01:01

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

Section 67:46:01:01 - Definitions

Terms used in this article mean:

(1) "AFDC," the aid to families with dependent children program as it existed on July 16, 1996, under the provisions of article 67:12;

(2) "Applicant," an individual who has filed an application for participation in the medical assistance program;

(3) "Department," the Department of Social Services;

(4) "Medicaid," the program authorized by Title XIX of the Social Security Act, 42 U.S.C. § 1396 d, as amended to July 1, 2014, which covers the allowable medical expenses of eligible individuals;

(5) "Medical assistance," "medical services," or "medical assistance program," the Medicaid program authorized by Title XIX of the Social Security Act, 42 U.S.C. § 1396 d, as amended to July 1, 2014, and SDCL 28-6, which provides medical assistance to eligible individuals but does not necessarily include long-term care; assistance provided to children who qualify for the nonmedicaid children's health insurance program covered under the provisions of chapter 67:46:14;

(6) "Qualified alien," a legal alien who arrived in the United States after August 21, 1996, who meets either the requirements of 8 U.S.C. § 1641 (b) or 8 U.S.C. § 1613 (b)(2), as amended to July 1, 2014;

(7) "Qualified developmental disabilities professional," any person with at least one year of experience working directly with individuals with intellectual disabilities or other developmental disabilities and is either a doctor of medicine or osteopathy, a registered nurse, or a person who holds at least a bachelor's degree in a professional category;

(8) "Recipient," a person who is determined by the department to be eligible for services under this article; and

(9) "SSI," supplemental security income.

S.D. Admin. R. 67:46:01:01

Portions of this rule were copied from § 67:16:01:01, effective 8/23/1992; SDR 141, effective 3/25/1993; 20 SDR 92, effective 12/21/1993; 23 SDR 152, effective 3/14/1997; 24 SDR 24, effective 8/31/1997; 26 SDR 168, effective 7/1/2000; 40 SDR 122, effective 1/7/2014; 41 SDR 93, effective 12/3/2014.

General Authority: SDCL 28-6-1, 42 U.S.C. § 1396 d.

Law Implemented: SDCL 28-6-1, 42 U.S.C. § 1396 d.

Definition of "qualified developmental disabilities professional," SDCL 27B-1-17(14), 42 C.F.R. § 483.430.