44:06:05:01.  Billing procedures. The CSHS program shall pay the provider for authorized services rendered after receiving pertinent billing information as follows:

          (1)  A completed standardized billing form received within one year from the service date; and

          (2)  An insurance deduction or rejection shown on the billing form with an attached explanation of benefits from the insurance plan, or if a prescription drug claim, a completed CSHS prescription drug claim form allowing the pharmacy to bill CSHS without an explanation of benefits form.

          Source: 6 SDR 93, effective July 1, 1980; 14 SDR 182, effective July 11, 1988; 20 SDR 91, effective December 19, 1993; 30 SDR 198, effective June 23, 2004; 33 SDR 106, effective December 26, 2006; 34 SDR 93, effective October 17, 2007.

          General Authority: SDCL 34-1-21.

          Law Implemented: SDCL 34-1-21.