Definitions.
Effective Dec 3, 201441 SDR 93Source: Portions of this rule were copied from § 67:16:01:01, effective August 23, 1992; SDR 141, effective March 25, 1993; 20 SDR 92, effective December 21, 1993; 23 SDR 152, effective March 14, 1997; 24 SDR 24, effective August 31, 1997; 26 SDR 168, effective July 1, 2000; 40 SDR 122, effective January 7, 2014; 41 SDR 93, effective December 3, 2014. | General Authority: SDCL 28-6-1 , 42 U.S.C. § 1396d. | Law Implemented: SDCL 28-6-1 , 42 U.S.C. § 1396d.
Terms used in this article mean:
- (1) "AFDC," the aid to families with dependent children program as it existed on July 16, 1996, under the provisions of article 67:12;
- (2) "Applicant," an individual who has filed an application for participation in the medical assistance program;
- (3) "Department," the Department of Social Services;
- (4) "Medicaid," the program authorized by Title XIX of the Social Security Act, 42 U.S.C. § 1396d, as amended to July 1, 2014, which covers the allowable medical expenses of eligible individuals;
- (5) "Medical assistance," "medical services," or "medical assistance program," the Medicaid program authorized by Title XIX of the Social Security Act, 42 U.S.C. § 1396d, as amended to July 1, 2014, and SDCL 28-6, which provides medical assistance to eligible individuals but does not necessarily include long-term care; assistance provided to children who qualify for the nonmedicaid children's health insurance program covered under the provisions of chapter 67:46:14;
- (6) "Qualified alien," a legal alien who arrived in the United States after August 21, 1996, who meets either the requirements of 8 U.S.C. § 1641(b) or 8 U.S.C. § 1613(b)(2), as amended to July 1, 2014;
- (7) "Qualified developmental disabilities professional," any person with at least one year of experience working directly with individuals with intellectual disabilities or other developmental disabilities and is either a doctor of medicine or osteopathy, a registered nurse, or a person who holds at least a bachelor's degree in a professional category;
- (8) "Recipient," a person who is determined by the department to be eligible for services under this article; and
- (9) "SSI," supplemental security income.
Source: Portions of this rule were copied from § 67:16:01:01, effective August 23, 1992; SDR 141, effective March 25, 1993; 20 SDR 92, effective December 21, 1993; 23 SDR 152, effective March 14, 1997; 24 SDR 24, effective August 31, 1997; 26 SDR 168, effective July 1, 2000; 40 SDR 122, effective January 7, 2014; 41 SDR 93, effective December 3, 2014.
General Authority: SDCL 28-6-1 , 42 U.S.C. § 1396d.
Law Implemented: SDCL 28-6-1 , 42 U.S.C. § 1396d.
Prior versions effective: 2014-01-07.