28-6-1.2. Reimbursement schedule for certain services--Medicaid program.
The Department of Social Services shall establish, maintain, and publish a reimbursement schedule for chiropractic, dental, and optometric services delivered under the Medicaid program. The schedule shall provide a reimbursement amount for each service.
The department shall determine reimbursement amounts, for each service, based on a percentage of current normal and customary fees in this state.
The department may seek the assistance of third parties to determine current normal and customary fees.
The department shall promulgate rules, pursuant to chapter 1-26, to establish and annually adjust the reimbursement schedule.
Source: SL 2022, ch 87, §1.
Structure South Dakota Codified Laws
Title 28 - Public Welfare and Assistance
Chapter 06 - Medical Services To The Indigent
Section 28-6-1 - Provision of medical services and remedial care authorized--Rules.
Section 28-6-1.2 - Reimbursement schedule for certain services--Medicaid program.
Section 28-6-3.1 - Disposal of assets at less than fair market value--Effect on eligibility.
Section 28-6-4.5 - Public funds not to be used for abortion except to save life of mother.
Section 28-6-5 - Opportunity provided to apply for assistance--Assistance furnished promptly.
Section 28-6-6 - Fair hearing on denial or delay in assistance.
Section 28-6-16 - Definition of terms.
Section 28-6-17 - Income and resources of spouses in long-term care--Division--Notice--Hearing.
Section 28-6-18 - Promulgation of rules regarding income and resources in long-term care.
Section 28-6-20 - Effect of 28-6-16 to 28-6-22, inclusive, on other statutes.
Section 28-6-21 - Application of 28-6-17.
Section 28-6-22 - Application of 28-6-16 to 28-6-22, inclusive.
Section 28-6-23 - Medical assistance as debt to department--Recovery of debt.
Section 28-6-23.1 - Limiting financial responsibility of estate of surviving spouse.
Section 28-6-24 - Medical assistance lien against real property.
Section 28-6-25 - Filing medical assistance real estate lien.
Section 28-6-26 - Exemption to medical assistance lien.
Section 28-6-27 - Priority of medical assistance lien.
Section 28-6-28 - Definition of terms.
Section 28-6-29 - Funding pool established.
Section 28-6-30 - Payments from funding pool to publicly owned and operated nursing facilities.
Section 28-6-31 - Payments to be remitted to department for credit to health care trust fund.
Section 28-6-33 - Code provisions governing investment in health care trust fund.
Section 28-6-34 - Funds appropriated under §28-6-1 may be used for payments under §28-6-30.
Section 28-6-35 - Promulgation of rules regarding health care trust fund and funding pool.
Section 28-6-36 - No entitlement to funds.
Section 28-6-38 - South Dakota long-term care partnership program established.