South Dakota Codified Laws
Chapter 06 - Medical Services To The Indigent
Section 28-6-23 - Medical assistance as debt to department--Recovery of debt.

28-6-23. Medical assistance as debt to department--Recovery of debt.
Any payment of medical assistance by or through the Department of Social Services to an individual who is an inpatient in a nursing facility, an intermediate care facility for individuals with developmental disabilities, or other medical institution, is a debt due to the department. Any payment on behalf of any person fifty-five years of age or older for nursing facility services, home and community based services, intermediate care facility services for individuals with intellectual disabilities, hospital and prescription drug services, is a debt due the department. The Department of Social Services shall establish a system of recovery of medical assistance correctly paid by or through the department. The Department of Social Services may file a claim against the estate of the surviving spouse of a medical assistance recipient to satisfy the debt established under this section. The secretary of social services shall adopt rules, pursuant to chapter 1-26, to define the scope of recoveries, establish hardship limitations on recoveries, establish limits on recoveries, and provide rules required to obtain federal financial participation in the medical assistance program.
For the purposes of this section, a surviving spouse is a person who was married to the deceased medical assistance recipient when the recipient became eligible for medical assistance, who has not divorced the medical assistance recipient, and who has not remarried after the recipient's death.

Source: SL 1994, ch 229, §7; SL 1997, ch 168, §1; SL 2013, ch 125, §12.

Structure South Dakota Codified Laws

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 28-6-1.1 - Establishment of fee schedules--Posting of fees, changes--Applicability of chapter 1-26.

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 28-6-7.1 - Acceptance of assistance as assignment and subrogation of support rights and insurance proceeds--Liability of insurer or attorney.

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 28-6-32 - Publicly owned and operated nursing facility may receive and shall remit payments under §§ 28-6-30 and 28-6-31--Exception.

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 28-6-37 - Eligibility for nursing and rehabilitative services--Countable assets reduced by long-term care partnership program policy benefits.

Section 28-6-38 - South Dakota long-term care partnership program established.