<html> <head> <title>Rule 67:55:01:11 Payment considered payment in full -- Exceptions.</title> <META NAME="Keywords" Content="Administrative Rules 67:55:01:11"> <META NAME="Description" Content="Administrative Rules 67:55:01:11 Payment considered payment in full -- Exceptions."> <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>67:55:01:11.&nbsp;&nbsp;Payment considered payment in full -- Exceptions.</b> Payments made under this article are considered payment in full unless one of the following circumstances exists and the department paid only a portion of the amount allowed:</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; (1)&nbsp;&nbsp;The victim's claims exceeded the limit of compensation established in SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=23A-28B-21">23A-28B-21</A>;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;The services provided were not entirely the result of the crime;</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;The cost of the service was found to be unreasonable; or</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;The amount paid was reduced by the amount due from a collateral source.</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; In no case may the payments made under this article exceed the limits established in SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=23A-28B">23A-28B.</A></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> 30 SDR 116, effective February 4, 2004.</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=23A-28B-20">23A-28B-20</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=23A-28B-33">23A-28B-33.</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=23A-28B-20">23A-28B-20</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=23A-28B-22">23A-28B-22</A>, <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=23A-28B-40">23A-28B-40.</A></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>Cross-References:</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Circumstances not permitting award of compensation, SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=23A-28B-25">23A-28B-25.</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Mental health services -- Payment limits, §&nbsp;67:55:04:04.</font></p> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Circumstances when compensation not allowed, §&nbsp;67:55:01:05.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html>