<html> <head> <title>Rule 46:32:01:01 Definitions.</title> <META NAME="Keywords" Content="Administrative Rules 46:32:01:01"> <META NAME="Description" Content="Administrative Rules 46:32:01:01 Definitions."> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Originator content="Microsoft Word 10"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>46:32:01:01.&nbsp;&nbsp;Definitions.</b> Terms used in this chapter mean:</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;&quot;Applied adjustments,&quot; the difference between a patient's total itemized bill and any previously agreed upon, contractual, or legislated agreement with a respective payor;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;&quot;BFM,&quot; the Bureau of Finance and Management;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;&quot;Contract,&quot; 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;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;&quot;Dispensing fee,&quot; pharmaceutical handling fee to recover the cost of pharmacy labor;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (5)&nbsp;&nbsp;&quot;ECT,&quot; electro convulsive therapy;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (6)&nbsp;&nbsp;&quot;HSC,&quot; the Human Services Center in Yankton, SD;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (7)&nbsp;&nbsp;&quot;Medical procedure,&quot; ECT, laboratory, specialty clinic, or x-ray service;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (8)&nbsp;&nbsp;&quot;Off-site medical treatment,&quot; medical treatment at a facility other than HSC that is provided to a patient;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (9)&nbsp;&nbsp;&quot;Per diem,&quot; daily patient cost for a course of treatment as provided in 27A-13-7;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (10)&nbsp;&nbsp;&quot;Private pay,&quot; the payor classification in which a patient, legally responsible person, or agency does not have health insurance coverage;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (11)&nbsp;&nbsp;&quot;Professional fee,&quot; the cost of providing the services of a medical doctor, physician-assistant, nurse practitioner, or psychologist services;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (12)&nbsp;&nbsp;&quot;Room rate,&quot; the cost of providing room, board, and direct care by a specific hospital treatment program;</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (13)&nbsp;&nbsp;&quot;Supplies,&quot; supplies provided to a patient during a course of treatment at the HSC.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 26 SDR 64, effective November 16, 1999.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=27A-4-2">27A-4-2</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=27A-13-3.1">27A-13-3.1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=27A-13-3.2">27A-13-3.2.</A></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b>SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=27A-13-3.1">27A-13-3.1</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=27A-13-3.2">27A-13-3.2.</A></p> </div> </body> </html>