Terms defined in § 67:16:01:01 have the same meaning when used in this chapter. In addition, terms used in this chapter mean:
- (1) "BIA," the bureau of Indian affairs;
- (2) "Coinsurance," that portion of the medical costs allowable but not payable by Medicare and for which the individual is responsible;
- (3) "Deductible," the initial amount of allowable Medicare costs paid by the individual before Medicare begins paying;
- (4) "Medicare," the federal health insurance program available through the social security administration for certain disabled individuals and for individuals 65 years of age or older;
- (5) "OCSE," the office of child support enforcement within the department of social services;
- (6) "Part A," insurance available through the Medicare program to help pay for medically necessary hospice or home health care or care in a hospital or skilled nursing facility;
- (7) "Part B," insurance available through the Medicare program to help pay for medically necessary physician services, outpatient hospital services, and medical supplies;
- (8) "Qualifying Individual" or "QI," a person who meets the requirements of this chapter and who is not otherwise eligible for Medicaid benefits and for whom the state pays the Part B Medicare premium;
- (9) "Qualified Medicare beneficiary" or "QMB," a person who meets the requirements of this chapter and for whom the state pays the Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments;
- (10) "SCORE," the service corps of retired executives;
- (11) "Special low-income Medicare beneficiary" or "SLMB," a person who meets the requirements of this chapter and for whom the state pays the Part B Medicare premium; and
- (12) "VISTA," the volunteers in service to America.
Source: 15 SDR 171, effective May 15, 1989; transferred from § 67:16:30:01, effective August 23, 1992; 19 SDR 141, effective March 25, 1993; 41 SDR 93, effective December 3, 2014.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
Prior versions effective: 1993-03-25.