<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.s67da60d0-7f88-4dd7-87f7-aa8a49199ac3P0 { margin-top: 0; line-height: 12.0pt; 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; } span.s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s67da60d0-7f88-4dd7-87f7-aa8a49199ac3000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000003 { 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="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3P0"><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:04:13"><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000000">44:75:04:13</span></a><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000001">.  Transfer agreements.</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> Each specialized hospital</span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">,</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> critical access hospital</span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">, and rural emergency hospital</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> </span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">must</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> have a transfer agreement with one or more hospitals to provide services not available on site or each physician</span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">, physician assistant, or nurse practitioner</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> </span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">must</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> have admitting privileges to a Medicare participating or nonparticipating hospital. </span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">A rural emergency hospital must have a transfer agreement with a level 1 or level 2 trauma center.</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> </span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">Any </span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">agreement </span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">must</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> provide for an interchange of medical and other necessary information.</span></p><p dir="ltr" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3P0"><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3000002"> </span></p><p dir="ltr" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3P0"><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">    </span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000001">Source:</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> 42 SDR 51, effective October 13, 2015</span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">; 50 SDR 62, effective November 27, 2023</span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">.</span></p><p dir="ltr" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3P0"><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">    </span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000001">General Authority:</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000003">34-12-13</span></a><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">(5).</span></p><p dir="ltr" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3P0"><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">    </span><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000001">Law Implemented:</span><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0-000003">34-12-13</span></a><span class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3C0">.</span></p><p dir="ltr" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3P0"><span xml:space="preserve" class="s67da60d0-7f88-4dd7-87f7-aa8a49199ac3000002"> </span></p></div></body></html>