Except for family planning supplies, payment for items dispensed by a PHS provider is limited to the cost of the item plus $4.30 or three percent, whichever is greater. Family planning supplies are payable under the provisions of § 67:16:14:06.

The dispensing PHS provider must maintain a copy of the supplier's invoice showing the actual cost of the items to the PHS provider. At the department's request, the PHS provider must furnish a copy of the invoice to substantiate the claim.

Source: 22 SDR 93, effective January 7, 1996; 31 SDR 21, effective August 25, 2004; 37 SDR 236, effective June 28, 2011; 37 SDR 236, adopted June 8, 2011, effective July 1, 2012; 38 SDR 244, effective July 1, 2012.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.