Terms used in this chapter mean:

1. (1) "Applied adjustments," the difference between a patient's total itemized bill and any previously agreed upon, contractual, or legislated agreement with a respective payor;
2. (2) "BFM," the Bureau of Finance and Management;
3. (3) "Contract," the payor classification in which a patient, legally responsible person, nongovernment agency, or business entity has a contractual agreement with the HSC for the provision of mental health or chemical dependency services, or both;
4. (4) "Dispensing fee," pharmaceutical handling fee to recover the cost of pharmacy labor;
5. (5) "ECT," electro convulsive therapy;
6. (6) "HSC," the Human Services Center in Yankton, SD;
7. (7) "Medical procedure," ECT, laboratory, specialty clinic, or x-ray service;
8. (8) "Off-site medical treatment," medical treatment at a facility other than HSC that is provided to a patient;
9. (9) "Per diem," daily patient cost for a course of treatment as provided in 27A-13-7;
10. (10) "Private pay," the payor classification in which a patient, legally responsible person, or agency does not have health insurance coverage;
11. (11) "Professional fee," the cost of providing the services of a medical doctor, physician-assistant, nurse practitioner, or psychologist services;
12. (12) "Room rate," the cost of providing room, board, and direct care by a specific hospital treatment program;
13. (13) "Supplies," supplies provided to a patient during a course of treatment at the HSC.

Source: 26 SDR 64, effective November 16, 1999.

General Authority: SDCL 27A-4-2 , 27A-13-3.1 , 27A-13-3.2.

Law Implemented: SDCL 27A-13-3.1 , 27A-13-3.2.