Payment for immunizations is limited to the lesser of the provider's usual and customary charge for the immunization provided or the amount specified on the department's fee schedule website.

The rate of payment is subject to review and amendment by the department under the provisions of § 67:16:01:28.

A provider must obtain the vaccine used for the immunization through the South Dakota Department of Health's Vaccine For Children Program. A list of the available vaccine is located at https://doh.sd.gov/documents/Family/Immunize/EligibilityChart.pdf. Because these vaccines are available free of charge, no payment is allowed for the cost of the vaccine.

Source: 18 SDR 209, effective June 23, 1992; 22 SDR 94, effective January 10, 1996; 35 SDR 88, effective October 23, 2008; 42 SDR 51, effective October 13, 2015.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1 , 28-6-1.1.

Prior versions effective: 2008-10-23.