28-6-7.1. Acceptance of assistance as assignment and subrogation of support rights and insurance proceeds--Liability of insurer or attorney.
An application for or acceptance of medical assistance paid from the Department of Social Services shall operate as an assignment and subrogation by operation of law of any rights to medical support, insurance proceeds, or both, that the applicant or recipient may have for the applicant's or recipient's person, spouse, or child. This assignment and subrogation includes all claims or actions for damages, either general or special. An application for or acceptance of medical assistance from the Department of Social Services shall be deemed by an applicant or recipient and any insurance provider, including self-insurance, as a release of information authorizing the release of insurance coverage information to the Department of Social Services regardless of the policyholder. Any rights or amounts so assigned or subrogated shall be applied against the cost of medical care paid under this chapter, less all reasonable expenses, including attorney's fees incurred by the applicant or recipient to collect such support or proceeds. Any insurance provider or attorney in fact who, after notice, fails to recognize or accept an assignment or subrogation established by operation of law by this section is liable to the Department of Social Services for the full amount of medical assistance paid to or on behalf of the applicant or recipient by the department for the accident, injury, or illness for which collection is claimed or made.
Source: SL 1977, ch 220; SL 1991, ch 223; SL 1993, ch 208; SL 2004, ch 167, §53.
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.