<html> <head> <title>Rule 67:48:04:02 Policyholder to reimburse department for services paid by both Medicaid and insurance -- Time limit for reimbursing department.</title> <META NAME="Keywords" Content="Administrative Rules 67:48:04:02"> <META NAME="Description" Content="Administrative Rules 67:48:04:02 Policyholder to reimburse department for services paid by both Medicaid and insurance -- Time limit for reimbursing department."> <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>67:48:04:02.&nbsp;&nbsp;Policyholder to reimburse department for services paid by both Medicaid and insurance -- Time limit for reimbursing department.</b> A policyholder must reimburse the department if the policyholder receives reimbursement from the policyholder's insurance company for medical services paid by the department on behalf of an individual who is Medicaid-eligible and covered under the policyholder's insurance. The policyholder must reimburse the department within 45 days after receiving the payment from the insurance company. Failure to reimburse the department within the time limit shall result in an action against the policyholder to recover the payment.</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> 26 SDR 162, effective June 14, 2000.</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>