<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.s512a8b98-3247-4606-88bb-d9657bae6df7P0 { 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.s512a8b98-3247-4606-88bb-d9657bae6df7C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s512a8b98-3247-4606-88bb-d9657bae6df7C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s512a8b98-3247-4606-88bb-d9657bae6df7C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s512a8b98-3247-4606-88bb-d9657bae6df7000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s512a8b98-3247-4606-88bb-d9657bae6df7C0-000003 { 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="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:14:13"><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000000">67:46:14:13</span></a><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000001">.  Members of nonmedicaid children's health insurance </span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000001">program</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000001"> family must cooperate with department.</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> The department may request information from </span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">any </span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">member of </span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">a </span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">children's health insurance</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> program (CHIP-NM)</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> family concerning the existence of actual or potential third-party liability coverage or a third-party payment source for medical expenses. For purposes of this </span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">section</span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">, third-party liability coverage or a third-party payment source is the obligation of an entity other than the medical assistance program for either partial or full payment of the medical cost of injury, disease, or disability</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> for the child</span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">.</span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7000002"> </span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">    The caretaker must provide the department with the necessary verifications to establish initial or continuing eligibility</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> and any</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> information necessary for federal reporting requirements or quality control efforts. </span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">The department shall deny</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> an application</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> for CHIP-NM</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> or terminat</span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">e</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> current benefits</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> for failure or refusal to supply the necessary verifications or information</span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">.</span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7000002"> </span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">    An alien who fails or refuses to obtain the cooperation of the alien's sponsor is ineligible for assistance.</span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7000002"> </span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">    </span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000001">Source:</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> 26 SDR 168, effective July 1, 2000; 41 SDR 7, effective July 29, 2014</span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">; 51 SDR 52, effective November 11, 2024</span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">.</span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">    </span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000001">General Authority:</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000003">28-6-1</span></a><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">.</span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">    </span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000001">Law Implemented:</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000003">28-6-1</span></a><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">.</span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7000002"> </span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">    </span><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000001">Cross-Reference:</span><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7C0"> Acceptance of assistance as assignment and subrogation of support rights and insurance proceeds--Liability of insurer or attorney, SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-7.1"><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0-000003">28-6-7.1</span></a><span class="s512a8b98-3247-4606-88bb-d9657bae6df7C0">.</span></p><p dir="ltr" class="s512a8b98-3247-4606-88bb-d9657bae6df7P0"><span xml:space="preserve" class="s512a8b98-3247-4606-88bb-d9657bae6df7000002"> </span></p></div></body></html>