Payments to hospitals for services provided to eligible individuals shall be made for medically necessary services provided on an inpatient or outpatient basis and for deductibles and coinsurance under the Medicare program.

A readmission within 72 hours from the time of discharge to the same hospital for a related diagnosis is considered a continuation of the prior admission for payment purposes.

Readmission or return to a hospital following a leave of absence, regardless of length, is not considered a separate admission.

Source: SL 1975, ch 16, § 1; 1 SDR 30, effective October 13, 1974; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 9 SDR 164, effective June 30, 1983; 16 SDR 239, effective July 9, 1990; 17 SDR 180, effective May 27, 1991; 40 SDR 122, effective January 7, 2014.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.