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Administrative Rules
Rule 46:32:01:01 Definitions.

          46:32:01:01.  Definitions. Terms used in this chapter mean:

          (1)  "Applied adjustments," the difference between a patient's total itemized bill and any previously agreed upon, contractual, or legislated agreement with a respective payor;

          (2)  "BFM," the Bureau of Finance and Management;

          (3)  "Contract," the payor classification in which a patient, legally responsible person, nongovernment agency, or business entity has a contractual agreement with the HSC for the provision of mental health or chemical dependency services, or both;

          (4)  "Dispensing fee," pharmaceutical handling fee to recover the cost of pharmacy labor;

          (5)  "ECT," electro convulsive therapy;

          (6)  "HSC," the Human Services Center in Yankton, SD;

          (7)  "Medical procedure," ECT, laboratory, specialty clinic, or x-ray service;

          (8)  "Off-site medical treatment," medical treatment at a facility other than HSC that is provided to a patient;

          (9)  "Per diem," daily patient cost for a course of treatment as provided in 27A-13-7;

          (10)  "Private pay," the payor classification in which a patient, legally responsible person, or agency does not have health insurance coverage;

          (11)  "Professional fee," the cost of providing the services of a medical doctor, physician-assistant, nurse practitioner, or psychologist services;

          (12)  "Room rate," the cost of providing room, board, and direct care by a specific hospital treatment program;

          (13)  "Supplies," supplies provided to a patient during a course of treatment at the HSC.

          Source: 26 SDR 64, effective November 16, 1999.

          General Authority:SDCL 27A-4-2, 27A-13-3.1, 27A-13-3.2.

          Law Implemented:SDCL 27A-13-3.1, 27A-13-3.2.

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