Individuals eligible for Medicare must apply to Medicare for coverage of any proposed transplant. A decision by Medicare that a transplant would not be covered by the Medicare program because the individual fails to meet the Medicare patient selection criteria is binding on the medical assistance program.

Source: 15 SDR 204, effective July 6, 1989; 26 SDR 168, effective July 1, 2000.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.