South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:46 - Eligibility for medical services
Chapter 67:46:11 - Qualified Medicare beneficiaries (QMB)
Section 67:46:11:01 - Definitions

(1) "BIA," the bureau of Indian affairs;

(2) "Coinsurance," that portion of the medical costs allowable but not payable by Medicare and for which the individual is responsible;

(3) "Deductible," the initial amount of allowable Medicare costs paid by the individual before Medicare begins paying;

(4) "Medicare," the federal health insurance program available through the social security administration for certain disabled individuals and for individuals 65 years of age or older;

(5) "OCSE," the office of child support enforcement within the department of social services;

(6) "Part A," insurance available through the Medicare program to help pay for medically necessary hospice or home health care or care in a hospital or skilled nursing facility;

(7) "Part B," insurance available through the Medicare program to help pay for medically necessary physician services, outpatient hospital services, and medical supplies;

(8) "Qualifying Individual" or "QI," a person who meets the requirements of this chapter and who is not otherwise eligible for Medicaid benefits and for whom the state pays the Part B Medicare premium;

(9) "Qualified Medicare beneficiary" or "QMB," a person who meets the requirements of this chapter and for whom the state pays the Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments;

(10) "SCORE," the service corps of retired executives;

(11) "Special low-income Medicare beneficiary" or "SLMB," a person who meets the requirements of this chapter and for whom the state pays the Part B Medicare premium; and

(12) "VISTA," the volunteers in service to America.