<html> <head> <title>Rule 67:16:35:08 Requests for reimbursement -- Certification.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:35:08"> <META NAME="Description" Content="Administrative Rules 67:16:35:08 Requests for reimbursement -- Certification."> <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><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:35:08.&nbsp;&nbsp;Requests for reimbursement -- Certification.</b> The provider or the provider's representative must sign the claim as a certification of the truth and accuracy of the claim. The provider's name, not the name of the facility or business, must be signed using handwriting, typewriter, signature stamp, computer impulse, or other means utilized as a signature. Each claim must indicate the date the form was signed.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 15 SDR 2, effective July 17, 1988; transferred from §&nbsp;67:16:01:07.01, 17 SDR 4, effective July 16, 1990; 23 SDR 38, effective September 26, 1996.</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html>