South Dakota · Regulations
Chapter 67:16:03 — Hospital services
41 sections
41 sections
- ARSD 67:16:03:01ARSD 67:16:03:01. Definitions
- ARSD 67:16:03:01.01ARSD 67:16:03:01.01. Benefit period not to exceed 30 inpatient hospital days -- Determination of number of daysRepealed
- ARSD 67:16:03:01.02ARSD 67:16:03:01.02. Requirements for an outlierRepealed
- ARSD 67:16:03:01.03ARSD 67:16:03:01.03. Determination of emergency hospital care
- ARSD 67:16:03:02ARSD 67:16:03:02. Inpatient hospital services covered
- ARSD 67:16:03:02.01ARSD 67:16:03:02.01. Inpatient hospital services requiring prior authorization
- ARSD 67:16:03:03ARSD 67:16:03:03. Outpatient hospital services covered
- ARSD 67:16:03:04ARSD 67:16:03:04. Inpatient hospital services not covered
- ARSD 67:16:03:05ARSD 67:16:03:05. Outpatient hospital services not coveredRepealed
- ARSD 67:16:03:06ARSD 67:16:03:06. Basis of reimbursement -- Inpatient services -- In-state hospitals
- ARSD 67:16:03:06.01ARSD 67:16:03:06.01. Basis of reimbursement -- Outpatient services
- ARSD 67:16:03:06.02ARSD 67:16:03:06.02. Certain in-state hospitals and hospital units exempt from diagnosis-related group basis of reimbursement
- ARSD 67:16:03:06.03ARSD 67:16:03:06.03. Basis of reimbursement -- Inpatient services -- In-state critical access hospitals
- ARSD 67:16:03:06.04ARSD 67:16:03:06.04. Basis of reimbursement -- Inpatient services -- Out-of-state hospitals
- ARSD 67:16:03:06.05ARSD 67:16:03:06.05. Basis of reimbursement -- Organ transplant proceduresRepealed
- ARSD 67:16:03:06.06ARSD 67:16:03:06.06. Reimbursement for in-state DRG-exempt hospitals and unitsRepealed
- ARSD 67:16:03:06.07ARSD 67:16:03:06.07. Reimbursement of outpatient laboratory services
- ARSD 67:16:03:06.08ARSD 67:16:03:06.08. Payment for above-average, access-critical and above-average, at-risk hospitalsRepealed
- ARSD 67:16:03:06.09ARSD 67:16:03:06.09. Disproportionate share hospitals
- ARSD 67:16:03:06.10ARSD 67:16:03:06.10. Classification of hospitals providing certain outpatient surgical proceduresRepealed
- ARSD 67:16:03:06.11ARSD 67:16:03:06.11. Basis of reimbursement -- Outpatient surgical procedures covered under subdivision 67:16:03:03(10)Repealed
- ARSD 67:16:03:06.12ARSD 67:16:03:06.12. Services included in reimbursement rate for outpatient surgical procedures covered under chapter 67:16:28Repealed
- ARSD 67:16:03:06.13ARSD 67:16:03:06.13. Items and services not included in reimbursement rate for outpatient surgical services covered under chapter 67:16:28 and paid under the provisions of chapter 67:16:03Repealed
- ARSD 67:16:03:06.14ARSD 67:16:03:06.14. Payment groups for outpatient hospital surgical procedures covered under chapter 67:16:28Repealed
- ARSD 67:16:03:06.15ARSD 67:16:03:06.15. Rate of payment -- Medicare crossover claims for certain inpatient hospital services
- ARSD 67:16:03:06.16ARSD 67:16:03:06.16. Rate of reimbursement if individual subject to care management remains in psychiatric unit beyond established discharge dateRepealed
- ARSD 67:16:03:06.17ARSD 67:16:03:06.17. Basis of reimbursement – Inpatient services – Claims containing revenue code 275 or 278Repealed
- ARSD 67:16:03:06.18ARSD 67:16:03:06.18. Basis of reimbursement -- Outpatient prospective payment system
- ARSD 67:16:03:07ARSD 67:16:03:07. Payment of hospital services
- ARSD 67:16:03:07.01ARSD 67:16:03:07.01. Maximum rate of payment -- Transfers between DRG-reimbursed hospital unit and DRG-exempt intensive care nursery unit in same hospitalRepealed
- ARSD 67:16:03:07.02ARSD 67:16:03:07.02. Maximum rate of payment -- Patient transfer not medically necessary
- ARSD 67:16:03:08ARSD 67:16:03:08. Notification of hospital servicesRepealed
- ARSD 67:16:03:09ARSD 67:16:03:09. Verification of eligibilityRepealed
- ARSD 67:16:03:10ARSD 67:16:03:10. Utilization review
- ARSD 67:16:03:11ARSD 67:16:03:11. Inpatient psychiatric hospital servicesRepealed
- ARSD 67:16:03:12ARSD 67:16:03:12. Transferred to § 67:16:03:06Transferred
- ARSD 67:16:03:13ARSD 67:16:03:13. Cost sharingRepealed
- ARSD 67:16:03:14ARSD 67:16:03:14. Claim requirementsRepealed
- ARSD 67:16:03:14.01ARSD 67:16:03:14.01. Billing requirements
- ARSD 67:16:03:14.02ARSD 67:16:03:14.02. Claim requirements for individuals subject to managed care who remain in psychiatric unit beyond established discharge dateRepealed
- ARSD 67:16:03:15ARSD 67:16:03:15. Application of other chapters