ARSD 67:16:44:06. Rate of payment

Payment is made at an all-inclusive rate for each visit for covered services. The department follows the standards established by the Medicare, Medicaid, and State Children's Health Insurance Program Benefits Improvement and Protection Act of 2000, Title II, § 702 (114 Stat. 2763A-572), as amended to July 1, 2019, to determine a facility's rate of payment. In the absence of specific regulations relating to allowable costs, the department bases allowable cost decisions on the Medicare Provider Reimbursement Manual (Centers for Medicare & Medicaid Services Pub. 15-1), as specified in § 67:16:04:62. Covered services that are not reimbursed as part of the all-inclusive rate will be reimbursed at the applicable medical assistance reimbursement methodology for the service.