South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:40 - Care management - Rehabilitation, psychiatric, neonatal
Section 67:16:40:02 - Certain hospitals required to participate in care management
Current through Register Vol. 51, page 43, September 23, 2024
An acute care hospital which is a participating provider in the medical assistance program and has a unit which is exempt from the DRG basis of reimbursement provisions must participate in care management. Units exempt from the DRG provisions include the following:
(1) A rehabilitation unit;
(2) A psychiatric unit;
(3) A neonatal unit; and
(4) A long-term care hospital unit.
An out-of-state rehabilitation hospital and an out-of-state acute care hospital is subject to the conditions of this chapter if it admits an individual from South Dakota to any of the units listed in this section and if that individual is required to participate in care management under § 67:16:40:03.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
Certain in-state hospitals, hospital units, and procedures exempt from DRG basis of reimbursement, § 67:16:03:06.02.
