South Dakota Administrative Rules
Title 22 - Counties
Article 22:02 - Catastrophic county poor relief
Chapter 22:02:02 - Reimbursements
Section 22:02:02:10 - County to pursue third-party payment sources

Universal Citation: SD Admin Rules 22:02:02:10
Current through Register Vol. 50, page 78, December 27, 2023

Because the county is the payor of last resort, a county must pursue the availability of a third-party payment source before accepting responsibility for a catastrophic claim. A third-party payment source is the obligation of an entity other than the county for either partial or full payment of the medical cost of injury, disease, or disability. Third-party payment sources include coverage such as Medicare, Medicaid, private health insurance, workers' compensation, supplemental security income, disability insurance, and automobile insurance.

The county must be able to document pursuit of the availability of a third-party payment source. The documentation must be maintained in the individual's record. When the claim is subsequently submitted to the CCPR program for payment, evidence of the third-party payment or rejection must accompany the claim.

22 SDR 2, effective July 17, 1995; transferred from § 67:19:02:10, 36 SDR 27, effective August 26, 2009.

General Authority: SDCL 28-13A-4.

Law Implemented: SDCL 28-13A-4.

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