<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s6585e2c3-64ec-4293-b963-3186d3f37ff1P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s6585e2c3-64ec-4293-b963-3186d3f37ff1C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6585e2c3-64ec-4293-b963-3186d3f37ff1000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1P0"><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:11"><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000000">67:45:03:11</span></a><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000001">.  Cases of suspected fraud -- Investigation -- Restitution.</span><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0"> If the department receives a report that suggests fraud or abuse has occurred or is occurring</span><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0"> in a facility</span><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">, </span><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">the department must</span><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0"> immediately investigate to determine the validity of the report.</span></p><p dir="ltr" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1P0"><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1000002"> </span></p><p dir="ltr" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1P0"><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">    Nothing contained in this chapter restricts the department's ability to collect payments made to a facility as a result of fraud committed by the facility.</span></p><p dir="ltr" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1P0"><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1000002"> </span></p><p dir="ltr" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1P0"><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">    </span><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000001">Source:</span><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0"> 26 SDR 21, effective August 24, 1999</span><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">; 50 SDR 11, effective August 7, 2023</span><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">.</span></p><p dir="ltr" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1P0"><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">    </span><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000001">General Authority:</span><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000003">28-6-1</span></a><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">.</span></p><p dir="ltr" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1P0"><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">    </span><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000001">Law Implemented:</span><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0-000003">28-6-1</span></a><span class="s6585e2c3-64ec-4293-b963-3186d3f37ff1C0">.</span></p><p dir="ltr" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1P0"><span xml:space="preserve" class="s6585e2c3-64ec-4293-b963-3186d3f37ff1000002"> </span></p></div></body></html>