South Dakota Administrative Rules
Title 44 - Department of Health
Article 44:76 - Ambulatory surgery center facilities
Chapter 44:76:13 - Patients' rights
Section 44:76:13:03 - Facility to provide information on available services

(1) A list of services available in the facility and the charges for such services. The facility shall specify which items and services are included in the services for which the patient may not be charged, those other items and services that the facility offers and for which the patient may be charged, and the amount of any such charges;

(2) A list of names, addresses, and telephone numbers of client advocates;

(3) A description of how to file a complaint with the department concerning abuse, neglect, and misappropriation of patient property;

(4) A description of how the patient can contact the patient's physician, including the name and specialty of the physician;

(5) A description of how to apply for and use Medicare and Medicaid benefits, and the right to establish eligibility for Medicaid, including the addresses and telephone numbers of the nearest office of the South Dakota Department of Social Services and of the United States Social Security Administration; and

(6) A description explaining the responsibilities of the patient and family members regarding self-administered medication.

A signed and dated admission agreement between the patient or the patient's legal representative and the facility shall include subdivisions (1) to (8), inclusive, of this section. The patient or patient's legal representative and the facility shall complete the admission agreement before or at the time of admission and before the patient has made a commitment for payment for proposed or actual care. The agreement may not include ambiguous or misleading information and may not be in conflict with this chapter. The agreement shall be printed for ease of reading by the patient. If the agreement exceeds three pages, it shall contain a table of contents or an index of principal sections. Any change in the information shall be given to the patient or the patient's legal representative as a signed and dated addendum to the original agreement.