<html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US link=blue vlink="#954F72"> <div> <p align=center><b>CHAPTER 67:16:04</b></p> <p align=center><b>&nbsp;</b></p> <p align=center><b>NURSING FACILITY RATE SETTING</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:01">67:16:04:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:02">67:16:04:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:03">67:16:04:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:04">67:16:04:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:04.01">67:16:04:04.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:05">67:16:04:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:05.01">67:16:04:05.01</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06">67:16:04:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06.01">67:16:04:06.01</a>&nbsp;&nbsp; Transferred.</p> <p>67:16:04:06:02&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06.03">67:16:04:06.03</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06.04">67:16:04:06.04</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:06.05">67:16:04:06.05</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07">67:16:04:07</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.01">67:16:04:07.01</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.02">67:16:04:07.02</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.03">67:16:04:07.03</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.04">67:16:04:07.04</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.05">67:16:04:07.05</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.06">67:16:04:07.06</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.07">67:16:04:07.07</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:07.08">67:16:04:07.08</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08">67:16:04:08</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.01">67:16:04:08.01</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.02">67:16:04:08.02</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.03">67:16:04:08.03</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.04">67:16:04:08.04</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.05">67:16:04:08.05</a>&nbsp;&nbsp; Transferred.</p> <p>67:16:04:08:06&nbsp;&nbsp; Transferred.</p> <p>67:16:04:08:07&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.08">67:16:04:08.08</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:08.09">67:16:04:08.09</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:09">67:16:04:09</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:09.01">67:16:04:09.01</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:10">67:16:04:10</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:11">67:16:04:11</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:12">67:16:04:12</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:13">67:16:04:13</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:14">67:16:04:14</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:15">67:16:04:15</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:16">67:16:04:16</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:17">67:16:04:17</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:18">67:16:04:18</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:19">67:16:04:19</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:20">67:16:04:20</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:20.01">67:16:04:20.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:20.02">67:16:04:20.02</a>&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:21">67:16:04:21</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:21.01">67:16:04:21.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:22">67:16:04:22</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:23">67:16:04:23</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:24">67:16:04:24</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:25">67:16:04:25</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p>67;16:04:26&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:27">67:16:04:27</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:28">67:16:04:28</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:29">67:16:04:29</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:30">67:16:04:30</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:31">67:16:04:31</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:32">67:16:04:32</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Transferred.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:33">67:16:04:33</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Definitions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:34">67:16:04:34</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Required financial reports.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:35">67:16:04:35</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Deadline extensions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:36">67:16:04:36</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Record retention.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:37">67:16:04:37</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Audits -- Appeal provisions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:38">67:16:04:38</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Time limits for requesting hearing.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:39">67:16:04:39</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Notification of per diem rates.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:40">67:16:04:40</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Absence of regulations -- Allowable costs based on CMS-15.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:41">67:16:04:41</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Routine services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:42">67:16:04:42</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Nonroutine services.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:43">67:16:04:43</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:44">67:16:04:44</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Allowable costs of related-party transactions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:45">67:16:04:45</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Rent paid to related-party organization not allowable -- Cost of ownership used.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:46">67:16:04:46</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Depreciation.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:47">67:16:04:47</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Costs not allowed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:48">67:16:04:48</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:49">67:16:04:49</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Occupancy.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:50">67:16:04:50</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Return on net equity.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:51">67:16:04:51</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ceilings.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:52">67:16:04:52</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Maximum capital cost for leased facility.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:53">67:16:04:53</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:54">67:16:04:54</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Method of establishing per diem rates.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:54.01">67:16:04:54.01</a>&nbsp;&nbsp; Method of establishing per diem rates -- Case mix adjusted direct care costs.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:54.02">67:16:04:54.02</a>&nbsp;&nbsp; Method of establishing per diem rates -- Nondirect care costs of health and subsistence, plant/operational, and other operating costs.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:54.03">67:16:04:54.03</a>&nbsp;&nbsp; Method of establishing per diem rates -- Nondirect care costs of administration.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:55">67:16:04:55</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Provisional per diem rates.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:56">67:16:04:56</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Per diem rates as payment in full.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:56.01">67:16:04:56.01</a>&nbsp;&nbsp; Per diem rate -- Existing facility experiencing new operational ownership.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:57">67:16:04:57</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:58">67:16:04:58</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Facility's average per diem charge.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:59">67:16:04:59</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:60">67:16:04:60</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Basis of payment.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:61">67:16:04:61</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Preadmission screening.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:62">67:16:04:62</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Medicare Provider Reimbursement Manual.</p> <p><a href="DisplayRule.aspx?Rule=67:16:04:63">67:16:04:63</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:01 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:01"> <META NAME="Description" Content="Administrative Rules 67:16:04:01 Transferred."> <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>67:16:04:01.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:33.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:02 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:02"> <META NAME="Description" Content="Administrative Rules 67:16:04:02 Repealed."> <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>67:16:04:02.&nbsp;&nbsp;Care facility agreement.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 1 SDR 30, effective October 13, 1974; repealed, 7 SDR 66, 7 SDR 89, effective July 1, 1981.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:03 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:03"> <META NAME="Description" Content="Administrative Rules 67:16:04:03 Transferred."> <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>67:16:04:03.&nbsp;&nbsp;Transferred to §&nbsp;67:45:01:02.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:04 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:04"> <META NAME="Description" Content="Administrative Rules 67:16:04:04 Repealed."> <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>67:16:04:04.&nbsp;&nbsp;On-site medical review and inspection -- Skilled nursing facility.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 1 SDR 30, effective October 13, 1974; 2 SDR 71, effective April 29, 1976; 5 SDR 109, effective July 1, 1979; 7 SDR 23, effective September 18, 1980; 7 SDR 76, effective February 11, 1981; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:04.01 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:04.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:04.01 Repealed."> <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>67:16:04:04.01.&nbsp;&nbsp;On-site medical evaluation and inspection -- Intermediate nursing facility.</b> Repealed.</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> 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:05 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:05"> <META NAME="Description" Content="Administrative Rules 67:16:04:05 Transferred."> <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>67:16:04:05.&nbsp;&nbsp;Transferred to § 67:45:02:03.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:05.01 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:05.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:05.01 Transferred."> <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>67:16:04:05.01.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:40.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:06 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:06"> <META NAME="Description" Content="Administrative Rules 67:16:04:06 Transferred."> <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>67:16:04:06.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:41.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:06.01 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:06.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:06.01 Transferred."> <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>67:16:04:06.01.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:42.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:06.02 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:06.02"> <META NAME="Description" Content="Administrative Rules 67:16:04:06.02 Transferred."> <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>67:16:04:06.02.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:47.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:06.03 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:06.03"> <META NAME="Description" Content="Administrative Rules 67:16:04:06.03 Transferred."> <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>67:16:04:06.03.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:43.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:06.04 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:06.04"> <META NAME="Description" Content="Administrative Rules 67:16:04:06.04 Transferred."> <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>67:16:04:06.04.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:49.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:06.05 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:06.05"> <META NAME="Description" Content="Administrative Rules 67:16:04:06.05 Transferred."> <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>67:16:04:06.05.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:53.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07"> <META NAME="Description" Content="Administrative Rules 67:16:04:07 Transferred."> <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>67:16:04:07.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:34.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07.01 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:07.01 Transferred."> <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>67:16:04:07.01.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:36.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07.02 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07.02"> <META NAME="Description" Content="Administrative Rules 67:16:04:07.02 Transferred."> <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>67:16:04:07.02.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:37.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07.03 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07.03"> <META NAME="Description" Content="Administrative Rules 67:16:04:07.03 Transferred."> <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>67:16:04:07.03.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:35.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07.04 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07.04"> <META NAME="Description" Content="Administrative Rules 67:16:04:07.04 Transferred."> <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>67:16:04:07.04.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:48.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07.05 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07.05"> <META NAME="Description" Content="Administrative Rules 67:16:04:07.05 Transferred."> <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>67:16:04:07.05.&nbsp;&nbsp;Transferred to §§&nbsp;67:16:04:54 to 67:16:04:57, inclusive.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07.06 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07.06"> <META NAME="Description" Content="Administrative Rules 67:16:04:07.06 Transferred."> <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>67:16:04:07.06.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:39.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07.07 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07.07"> <META NAME="Description" Content="Administrative Rules 67:16:04:07.07 Transferred."> <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>67:16:04:07.07.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:58.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:07.08 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:07.08"> <META NAME="Description" Content="Administrative Rules 67:16:04:07.08 Repealed."> <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>67:16:04:07.08.&nbsp;&nbsp;Reimbursements -- Facility's usual and customary charge -- Per diem rate.</b> Repealed.</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> 17 SDR 50, effective October 7, 1990; repealed, 21 SDR 8, effective July 25, 1994.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08"> <META NAME="Description" Content="Administrative Rules 67:16:04:08 Transferred."> <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>67:16:04:08.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:60.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.01 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.01 Transferred."> <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>67:16:04:08.01.&nbsp;&nbsp;Transferred to §&nbsp;67:45:02:02.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.02 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.02"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.02 Repealed."> <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>67:16:04:08.02.&nbsp;&nbsp;Add-on payment -- Nutritional therapy.</b> Repealed.</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 68, effective November 7, 1988; 18 SDR 67, effective October 13, 1991; repealed, 21 SDR 8, effective July 25, 1994.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.03 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.03"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.03 Repealed."> <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>67:16:04:08.03.&nbsp;&nbsp;Add-on payment -- Oxygen.</b> Repealed.</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 68, effective November 7, 1988; 18 SDR 67, effective October 13, 1991; repealed, 21 SDR 8, effective July 25, 1994.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.04 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.04"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.04 Transferred."> <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>67:16:04:08.04.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:59.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.05 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.05"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.05 Transferred."> <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>67:16:04:08.05.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:44.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.06 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.06"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.06 Transferred."> <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>67:16:04:08.06.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:45.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.07 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.07"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.07 Transferred."> <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>67:16:04:08.07.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:46.</b></font></p> <p><b><font size=3 face="Times New Roman">&nbsp;</font></b></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.08 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.08"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.08 Transferred."> <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>67:16:04:08.08.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:50.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:08.09 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:08.09"> <META NAME="Description" Content="Administrative Rules 67:16:04:08.09 Transferred."> <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>67:16:04:08.09.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:52.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:09 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:09"> <META NAME="Description" Content="Administrative Rules 67:16:04:09 Repealed."> <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>67:16:04:09.&nbsp;&nbsp;Payment limitations -- Skilled, intermediate, mentally retarded, mental diseases.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 2 SDR 16, effective September 4, 1975; 2 SDR 71, effective April 29, 1976; 5 SDR 109, effective July 1, 1979; 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; 11 SDR 86, effective December 30, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:09.01 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:09.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:09.01 Transferred."> <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>67:16:04:09.01.&nbsp;&nbsp;Transferred to §§&nbsp;67:45:02:08 and 67:45:02:09.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:10 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:10"> <META NAME="Description" Content="Administrative Rules 67:16:04:10 Repealed."> <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>67:16:04:10.&nbsp;&nbsp;Other resources of a resident.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 1 SDR 30, effective October 30, 1974; 2 SDR 88, effective July 1, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:11 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:11"> <META NAME="Description" Content="Administrative Rules 67:16:04:11 Repealed."> <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>67:16:04:11.&nbsp;&nbsp;Allocation of resources when recipient and spouse live apart.</b> Repealed.</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> SL 1975, ch 16, § 1;&nbsp;1 SDR 30, effective October 13, 1974; 2 SDR 88, effective July 1, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:12 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:12"> <META NAME="Description" Content="Administrative Rules 67:16:04:12 Repealed."> <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>67:16:04:12.&nbsp;&nbsp;Treatment of other resources for less than a full month residence.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 1 SDR 30, effective October 13, 1974; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 8 SDR 170, effective June 21, 1982.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:13 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:13"> <META NAME="Description" Content="Administrative Rules 67:16:04:13 Transferred."> <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>67:16:04:13.&nbsp;&nbsp;Transferred to §&nbsp;67:45:02:10.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:14 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:14"> <META NAME="Description" Content="Administrative Rules 67:16:04:14 Transferred."> <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>67:16:04:14.&nbsp;&nbsp;Transferred to §&nbsp;67:45:02:04.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:15 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:15"> <META NAME="Description" Content="Administrative Rules 67:16:04:15 Repealed."> <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>67:16:04:15.&nbsp;&nbsp;Utilization review.</b> Repealed</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> SL 1975, ch 16, §&nbsp;1; 1 SDR 30, effective October 13, 1974; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; 16 SDR 235, effective July 5, 1990; 18 SDR 67, effective October 13, 1991; repealed, 21 SDR 8, effective July 25, 1994.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:16 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:16"> <META NAME="Description" Content="Administrative Rules 67:16:04:16 Repealed."> <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>67:16:04:16.&nbsp;&nbsp;Observation and assessments.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 2 SDR 71, effective April 29, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:17 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:17"> <META NAME="Description" Content="Administrative Rules 67:16:04:17 Repealed."> <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>67:16:04:17.&nbsp;&nbsp;Skilled nursing facility services.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 2 SDR 71, effective April 29, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; 15 SDR 68, effective November 7, 1988; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:18 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:18"> <META NAME="Description" Content="Administrative Rules 67:16:04:18 Repealed."> <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>67:16:04:18.&nbsp;&nbsp;Intermediate care services.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 2 SDR 71, effective April 29, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 10 SDR 79, effective February 1, 1984; 11 SDR 26, effective August 21, 1984; 15 SDR 68, effective November 7, 1988; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:19 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:19"> <META NAME="Description" Content="Administrative Rules 67:16:04:19 Transferred."> <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>67:16:04:19.&nbsp;&nbsp;Transferred to §&nbsp;67:45:01:04.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:20 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:20"> <META NAME="Description" Content="Administrative Rules 67:16:04:20 Transferred."> <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>67:16:04:20.&nbsp;&nbsp;Transferred to §&nbsp;67:45:01:07.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:20.01 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:20.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:20.01 Repealed."> <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>67:16:04:20.01.&nbsp;&nbsp;Other factors considered in the determination of individual's level of care.</b> Repealed.</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> 11 SDR 26, effective August 21, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:20.02 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:20.02"> <META NAME="Description" Content="Administrative Rules 67:16:04:20.02 Transferred."> <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>67:16:04:20.02.&nbsp;&nbsp;Transferred to §&nbsp;67:45:01:06.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:21 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:21"> <META NAME="Description" Content="Administrative Rules 67:16:04:21 Repealed."> <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>67:16:04:21.&nbsp;&nbsp;Payment to facilities for services to the severely, physically handicapped.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 4 SDR 88, effective June 26, 1978; 5 SDR 112, effective July 14, 1979; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 15 SDR 68, effective November 7, 1988.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:21.01 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:21.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:21.01 Repealed."> <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>67:16:04:21.01.&nbsp;&nbsp;Facility eligible for payment for services to the severely, physically handicapped.</b> Repealed.</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> 5 SDR 112, effective July 14, 1979; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 15 SDR 68, effective November 7, 1988.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:22 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:22"> <META NAME="Description" Content="Administrative Rules 67:16:04:22 Repealed."> <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>67:16:04:22.&nbsp;&nbsp;Eligibility criteria for payment for services to the severely, physically handicapped.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 4 SDR 88, effective June 26, 1978; 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 15 SDR 68, effective November 7, 1988.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:23 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:23"> <META NAME="Description" Content="Administrative Rules 67:16:04:23 Repealed."> <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>67:16:04:23.&nbsp;&nbsp;Semiannual review.</b> Repealed.</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> SL 1975, ch 16, §&nbsp;1; 4 SDR 88, effective June 26, 1978; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 15 SDR 68, effective November 7, 1988.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:24 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:24"> <META NAME="Description" Content="Administrative Rules 67:16:04:24 Repealed."> <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>67:16:04:24.&nbsp;&nbsp;Intermediate level of care for mentally retarded 18 years or older.</b> Repealed.</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> 10 SDR 79, effective February 1, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:25 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:25"> <META NAME="Description" Content="Administrative Rules 67:16:04:25 Repealed."> <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>67:16:04:25.&nbsp;&nbsp;Intermediate level of care for mentally retarded under age 18.</b> Repealed.</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> 10 SDR 79, effective February 1, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:26 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:26"> <META NAME="Description" Content="Administrative Rules 67:16:04:26 Repealed."> <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>67:16:04:26.&nbsp;&nbsp;Intermediate level of care for mentally retarded -- Developmentally disabled.</b> Repealed.</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> 10 SDR 79, effective February 1, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:27 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:27"> <META NAME="Description" Content="Administrative Rules 67:16:04:27 Repealed."> <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>67:16:04:27.&nbsp;&nbsp;Services for intermediate level of care for mentally retarded.</b> Repealed.</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> 10 SDR 79, effective February 1, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:28 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:28"> <META NAME="Description" Content="Administrative Rules 67:16:04:28 Repealed."> <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>67:16:04:28.&nbsp;&nbsp;Level of care determination for individuals with mental disease.</b> Repealed.</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> 10 SDR 79, effective February 1, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:29 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:29"> <META NAME="Description" Content="Administrative Rules 67:16:04:29 Repealed."> <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>67:16:04:29.&nbsp;&nbsp;Services not covered in skilled nursing or intermediate care facilities for individuals with mental disease.</b> Repealed.</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> 10 SDR 79, effective February 1, 1984; repealed, 18 SDR 67, effective October 13, 1991.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:30 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:30"> <META NAME="Description" Content="Administrative Rules 67:16:04:30 Transferred."> <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>67:16:04:30.&nbsp;&nbsp;Transferred to §&nbsp;67:16:04:61.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:31 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:31"> <META NAME="Description" Content="Administrative Rules 67:16:04:31 Transferred."> <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>67:16:04:31.&nbsp;&nbsp;Transferred to §&nbsp;67:45:02:12.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:32 Transferred.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:32"> <META NAME="Description" Content="Administrative Rules 67:16:04:32 Transferred."> <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>67:16:04:32.&nbsp;&nbsp;Transferred to §&nbsp;67:45:02:13.</b></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0 { 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.s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000003 { 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="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:33"><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000000">67:16:04:33</span></a><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000001">.  Definitions.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> Terms used in this chapter mean:</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (1)  "Administration costs," costs defined in the statistical and cost summary report </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">that relate to patient care and includes</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> the administrator's and assistant administrator's salaries, administrative travel, office salaries, office supplies and expenses, central office and home office expenses, dues, fees, subscriptions, professional license fees, and legal and accounting expense;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (2)  "Capital costs," costs associated with building insurance, building depreciation, furniture and equipment depreciation, amortization of organization and preoperating costs, mortgage interest, rent on the facility and grounds, equipment rent, and return on net equity;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (3)  "Case mix," the mixture of residents of different classifications within a nursing facility;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (4)  "Case mix score," the average of the </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">Patient Driven Payment Model nursing case mix group </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">weights for residents in a facility over a particular time period;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (5)  "Chain organization," a group of two or more health care facilities that are owned, leased, or otherwise controlled by one organization;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (6)  "Desk audit," a review of the statistical and cost reports to determine omissions, erroneous calculations, reasonableness of selected cost items, and compliance with other reporting requirements </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">before</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> establishing a database from which per diem rates are established;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (7)  "Field audit," a comprehensive</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> on-site review of the statistical and cost reports to determine omissions, erroneous calculations, reasonableness of selected cost items, and compliance with other reporting requirements </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">before</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> establishing a database from which per diem rates are established;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (8)  "Hospital-affiliated nursing facility," a licensed nursing facility that is under common ownership with</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> is operated by the same administrative authority as</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">and shares on a daily basis common services areas with, </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">the licensed hospital</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> and </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> is required to use the stepdown method of allocation required by Medicare if the stepdown results in part of the cost of the shared areas being allocated between the hospital and the nursing facility</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> and the stepdown numbers are the numbers used for Medicare reimbursement;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">9</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">)  "Nursing facility," any facility that is licensed, maintained, and operated for the express or implied purpose of providing care to one or more persons, whether for consideration or not, who are not acutely ill but require nursing care and related medical services of such complexity as to require professional nursing care under the direction of a physician </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">twenty-four</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> hours a day;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (1</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">0</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">)  "Over-the-counter medications," medications that can be purchased by the general public without a physician</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> or other licensed practitioner's</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> prescription;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (11)  "Patient Driven Payment Model," the relative ratio of resources required to care for one class of residents when compared to another class of residents as measured by the resident assessment using the nursing case mix group;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (12)  "Related-party transaction," a business transaction between parties having a common ownership or control interest;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (13)  "Resident assessment," a comprehensive assessment of a nursing facility resident completed under § </span><a href="https://sdlegislature.gov/Rules?Rule=44:73:06:10"><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000003">44:</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000003">73:06:10</span></a><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (14)  "Routine services," services and items necessary </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">for</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> the care, treatment, and comfort of </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">a</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> resident;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (15)  "Salvage value," the estimated value of a depreciable asset at the end of its useful life. The </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">value</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> is estimated at the time of acquisition or construction and is deducted from the cost of the depreciable property to arrive at the basis for depreciation;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (16)  "Stepdown method of allocation," an accounting methodology in which costs flow from nonrevenue-producing cost centers to revenue-producing cost centers. On ledgers showing this allocation, the lists of numbers take on a visual tiering appearance from the left of the page to the right;</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (17)  "Straight-line depreciation method," a procedure followed in depreciation computations that assigns equal segments of the cost of an item to the benefits to be yielded by the item, often over a period of time; and</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    (18)  "Swing-bed hospital," an acute care general hospital that has been approved by the Department of Health to provide short-term nursing facility services in a portion of its licensed hospital beds pending the availability of a nursing facility bed.</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> SL 1975, ch 16, § 1; 1 SDR 30, effective October 13, 1974; 2 SDR 16, effective September 4, 1975; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; 15 SDR 68, effective November 7, 1988; 16 SDR 26, effective August 13, 1989; 18 SDR 67, effective October 13, 1991; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:01"><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000003">67:16:04:01</span></a><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">, 21 SDR 8, effective July 25, 1994; 24 SDR 185, effective July 6, 1998; 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 35 SDR 312, effective July 6, 2009; 44 SDR 94, effective December 4, 2017</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">; 50 SDR 11, effective August 7, 2023</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">.</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">.</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">    </span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">(4)</span><span style="white-space: pre-wrap;" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aC0">.</span></p><p dir="ltr" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s15c10eb2-b6f0-44fa-bb04-048a412c9b6a000002"> </span></p></div></body></html><br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:34 Required financial reports.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:34"> <META NAME="Description" Content="Administrative Rules 67:16:04:34 Required financial reports."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040003400d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Created>2009-07-07T13:27:00Z</o:Created> <o:LastSaved>2009-07-07T13:27:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>273</o:Words> <o:Characters>1559</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>12</o:Lines> <o:Paragraphs>3</o:Paragraphs> <o:CharactersWithSpaces>1829</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:34.&nbsp;&nbsp;Required financial reports.</b> A nursing facility shall submit to the department a statistical and cost summary report relating to the operation of the facility no later than 150 days following the close of the facility's fiscal year. The report must be completed following generally accepted accounting procedures as defined in &#167;&nbsp;20:75:05:06 and the accrual method of accounting. The report must cover the facility's most recent fiscal accounting period and must be submitted on forms provided by the department or by electronic media. The facility must have prior approval from the department if submitting its forms electronically. The department may request additional information to clarify and substantiate the facility's cost report. This additional information shall serve as an attachment to the statistical and cost summary report.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Failure to submit the required financial reports by the established deadlines, failure to complete the report, failure to supply additional information as requested by the department, or failure to comply with all applicable rules within this article may result in the withholding of monthly payments until the report is filed or until the facility complies with the affected rules.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> SL 1975, ch 16, &#167;&nbsp;1; 2 SDR 16, effective September 4, 1975; 2 SDR 88, effective July 1, 1976; 4 SDR 88, effective June 26, 1978; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 15 SDR 68, effective November 7, 1988; 16 SDR 26, effective August 13, 1989; transferred from &#167;&nbsp;67:16:04:07, 21 SDR 8, effective July 25, 1994; 24 SDR 185, effective July 6, 1998; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Cross-References:</b><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Deadline extensions, &#167;&nbsp;67:16:04:35.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Principles of reasonable cost reimbursement, 42 C.F.R. Part 413.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:35 Deadline extensions.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:35"> <META NAME="Description" Content="Administrative Rules 67:16:04:35 Deadline extensions."> <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>67:16:04:35.&nbsp;&nbsp;Deadline extensions.</b> The department may grant a facility an extension beyond the 150-day deadline for filing its statistical and cost summary report. A facility's request for an extension must be in writing and must be received by the department at least 15 working days before the report's due date. The request must contain a clear explanation of the need for the extension and the date when the report can be submitted.</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; Approval of an extension request is based on the merits of the request and for good cause.&nbsp; For purposes of this rule, good cause is one that supplies a substantial reason for the delay, a legal excuse for the delay, or an intervening action beyond the facility's control. Ignorance of the rule, inconvenience, a cost report preparer engaged in other work, or an accountant involved with income tax preparation is not good cause.</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> 16 SDR 26, effective August 13, 1989; transferred from §&nbsp;67:16:04:07.03, 21 SDR 8, effective July 25, 1994; 23 SDR 42, effective September 30, 1996; 24 SDR 185, effective July 6, 1998.</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(4).</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(4).</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-Reference:</b> Required financial reports, §&nbsp;67:16:04:34.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:36 Record retention.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:36"> <META NAME="Description" Content="Administrative Rules 67:16:04:36 Record retention."> <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>67:16:04:36.&nbsp;&nbsp;Record retention.</b> A nursing facility must retain all financial and statistical records for a minimum of six years following the submission of statistical and cost summary reports under §&nbsp;67:16:04:34. Records may not be destroyed when an audit exception is pending, regardless of time. These records must be made available on demand to representatives of the State of South Dakota or the United States Department of Health and Human Services.</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 68, effective November 7, 1988; 16 SDR 235, effective July 5, 1990; transferred from §&nbsp;67:16:04:07.01, 21 SDR 8, effective July 25, 1994.</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> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:37 Audits -- Appeal provisions.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:37"> <META NAME="Description" Content="Administrative Rules 67:16:04:37 Audits -- Appeal provisions."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040003700d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>1</o:TotalTime> <o:Created>2009-07-07T13:27:00Z</o:Created> <o:LastSaved>2009-07-07T13:27:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>205</o:Words> <o:Characters>1174</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>9</o:Lines> <o:Paragraphs>2</o:Paragraphs> <o:CharactersWithSpaces>1377</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-format:other; mso-font-pitch:variable; mso-font-signature:3 0 0 0 1 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-1610611985 1073750139 0 0 159 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Times; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:37.&nbsp;&nbsp;Audits -- Appeal provisions.</b> The department shall conduct desk audits of the statistical and cost reports submitted under &#167;&nbsp;67:16:04:34. If a field audit is conducted, the auditor shall hold an exit conference with representatives from the facility to discuss and explain the preliminary audit findings. Following the exit conference, the auditor shall prepare written audit findings and comments and shall mail a copy to the facility.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The facility has 30 calendar days following receipt of a desk or field audit report to contest an adjustment or a disallowed expenditure by requesting an administrative hearing under the provisions of chapter 67:17:02. The department may extend this time limit at the request of the provider. Such an extension may not exceed 30 calendar days. The department may not accept additional documentation from the provider once the time limit has expired. At the hearing, the burden of proof is on the provider to demonstrate its entitlement to Medicaid reimbursement by a preponderance of the evidence.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 15 SDR 68, effective November 7, 1988; 16 SDR 26, effective August 13, 1989; transferred from &#167;&nbsp;67:16:04:07.02, 21 SDR 8, effective July 25, 1994; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Cross-Reference:</b> Time limits for requesting hearing, &#167;&nbsp;67:16:04:38.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:38 Time limits for requesting hearing.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:38"> <META NAME="Description" Content="Administrative Rules 67:16:04:38 Time limits for requesting hearing."> <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>67:16:04:38.&nbsp;&nbsp;Time limits for requesting hearing.</b> A request for a fair hearing must be made within 30 days after the department sends its final audit report to a nursing facility or within 60 days after the department sends its final audit report to a nursing facility if the department has granted the facility an extension of time to request a fair hearing.</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> 21 SDR 8, effective July 25, 1994.</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> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:39 Notification of per diem rates.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:39"> <META NAME="Description" Content="Administrative Rules 67:16:04:39 Notification of per diem rates."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040003900d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>1</o:TotalTime> <o:Created>2009-07-07T13:27:00Z</o:Created> <o:LastSaved>2009-07-07T13:27:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>154</o:Words> <o:Characters>879</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>7</o:Lines> <o:Paragraphs>2</o:Paragraphs> <o:CharactersWithSpaces>1031</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-format:other; mso-font-pitch:variable; mso-font-signature:3 0 0 0 1 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-1610611985 1073750139 0 0 159 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Times; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:39.&nbsp;&nbsp;Notification of per diem rates.</b> The department shall notify the nursing facility in writing of the established per diem rates and the effective date of the rates.<span style='mso-spacerun:yes'>&nbsp; </span>The date on the letter is considered the date of notification.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The facility has 30 calendar days following the date of notification to contest an established per diem rate by requesting an administrative hearing under the provisions of chapter 67:17:02. The department may extend this time limit at the request of the provider. Such an extension may not exceed 30 calendar days. The department may not accept additional documentation from the provider once the time limit has expired. At the hearing, the burden of proof is on the provider to demonstrate its entitlement to Medicaid reimbursement by a preponderance of the evidence.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 17 SDR 50, effective October 7, 1990; transferred from &#167;&nbsp;67:16:04:07.06, 21 SDR 8, effective July 25, 1994; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:40 Absence of regulations -- Allowable costs based on CMS-15.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:40"> <META NAME="Description" Content="Administrative Rules 67:16:04:40 Absence of regulations -- Allowable costs based on CMS-15."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040004000d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>1</o:TotalTime> <o:Created>2009-07-07T13:27:00Z</o:Created> <o:LastSaved>2009-07-07T13:27:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>87</o:Words> <o:Characters>498</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>4</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>584</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:40.&nbsp;&nbsp;Absence of regulations -- Allowable costs based on CMS-15.</b> In the absence of specific regulations relating to allowable costs for nursing care facilities, allowable cost decisions shall be based on the criteria contained in the <b style='mso-bidi-font-weight:normal'>Medicare Provider Reimbursement Manual</b> (CMS Pub 15-1), as specified in &#167;&nbsp;67:16:04:62.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 17 SDR 50, effective October 7, 1990; transferred from &#167;&nbsp;67:16:04:05.01, 21 SDR 8, effective July 25, 1994; 21 SDR 172, effective April 3, 1995; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:41 Routine services.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:41"> <META NAME="Description" Content="Administrative Rules 67:16:04:41 Routine services."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif; color:black;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:#954F72; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; color:black;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink="#954F72"> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:04:41.&nbsp;&nbsp;Routine services.</b> For purposes of cost reporting, the department considers the following items and services to be routine:</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Shelter;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;At least three meals a day planned from the basic four food groups in quantity and variety to provide medically prescribed diets, including special oral, enteral, or parenteral dietary supplements used for meal or nourishment supplementation, even if written as a prescription item by a physician</span><span style='font-size: 12.0pt;font-family:"Times New Roman",serif'> or other licensed practitioner</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Expendable items used in the care and treatment of residents such as alcohol, applicators, cotton balls, band-aids, linen savers, colostomy supplies, catheters, catheter supplies, irrigation equipment, needles, syringes, IV equipment, support hose, hydrogen peroxide, enemas, tongue depressors, facial tissue, and over-the-counter medications;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;Screening tests such as Clinitest, Testape, and Ketostix;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (5)&nbsp;&nbsp;Personal hygiene items such as soap, lotion, powder, shampoo, deodorant, toothbrushes, toothpaste, denture cups and cleaner, mouthwash, and pericare products;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (6)&nbsp;&nbsp;Social services, activities, and the supplies necessary for each;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (7)&nbsp;&nbsp;Laundry services;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (8)&nbsp;&nbsp;Therapy services if provided by a facility employee or by a consultant who is under contract with the facility;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (9)&nbsp;&nbsp;Transportation services necessary to meet the medical and activity needs of the residents exclusive of ambulance services and </span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>secure medical</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> transportation services. Reimbursement is limited to transportation to the nearest medical provider able to provide the service;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (10)&nbsp;&nbsp;Items which are used by individual residents but which are reusable and expected to be available, such as resident gowns, water pitchers, bedpans, ice bags, bed rails, canes, crutches, walkers, wheelchairs, traction equipment, alternating pressure pad and pump, and other medical equipment;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (11)&nbsp;&nbsp;General nursing services, including restorative nursing activities, toileting programs, administration of oxygen and medications, hand or tube feeding, care of incontinence, enemas, tray service, and personal hygiene including bathing, skin care, hair care, shaving, and oral hygiene;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (12)&nbsp;&nbsp;Oxygen and oxygen regulators, concentrators, tubing, masks, tents, and other equipment necessary for the administration of oxygen; and</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (13)&nbsp;&nbsp;Respiratory services and supplies.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> SL 1975, ch 16, &#167;&nbsp;1; 1 SDR 30, effective October 13, 1974; 2 SDR 88, effective July 1, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; 15 SDR 68, effective November 7, 1988; 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from &#167;&nbsp;67:16:04:06, 21 SDR 8, effective July 25, 1994; 44 SDR 94, effective December 4, 2017.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&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></span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(1)(2)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&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></span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(1)(2)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:42 Nonroutine services.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:42"> <META NAME="Description" Content="Administrative Rules 67:16:04:42 Nonroutine services."> <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>67:16:04:42.&nbsp;&nbsp;Nonroutine services.</b> A facility may not include the cost of nonroutine services as an allowable cost on the cost report required in §&nbsp;67:16:04:34.&nbsp; The provider of the nonroutine service must bill the department directly. Nonroutine services include the following types of services:</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;Prescription drugs;</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; (2)&nbsp;&nbsp;Physician services for direct resident care;</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; (3)&nbsp;&nbsp;Laboratory and radiology services;</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; (4)&nbsp;&nbsp;Mental health services;</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; (5)&nbsp;&nbsp;Therapy services when provided by someone other than a facility employee or a licensed therapist who has a contract with the facility to provide the therapy;</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; (6)&nbsp;&nbsp;Prosthetic devices and prosthetic supplies provided for an individual resident which are prescribed by a doctor and cannot be altered for use by other residents; and</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; (7)&nbsp;&nbsp;Any other professional medical service or supply which may be billed directly to Medicare or Medicaid by the provider of the service.</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 68, effective November 7, 1988; 16 SDR 26, effective August 13, 1989; transferred from §&nbsp;67:16:04:06.01, 21 SDR 8, effective July 25, 1994.</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> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:43 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:43"> <META NAME="Description" Content="Administrative Rules 67:16:04:43 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040004300d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>1</o:TotalTime> <o:Created>2009-07-07T13:27:00Z</o:Created> <o:LastSaved>2009-07-07T13:27:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>37</o:Words> <o:Characters>216</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>1</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>252</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:43.&nbsp;&nbsp;Point system to determine maximum allowable salary for owner.</b> Repealed.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 15 SDR 68, effective November 7, 1988; transferred from &#167;&nbsp;67:16:04:06.03, 21 SDR 8, effective July 25, 1994; repealed, 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:44 Allowable costs of related-party transactions.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:44"> <META NAME="Description" Content="Administrative Rules 67:16:04:44 Allowable costs of related-party transactions."> <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>67:16:04:44.&nbsp;&nbsp;Allowable costs of related-party transactions.</b> The allowable costs associated with a related-party transaction are equal to the actual cost to the related organization or the fair market value, whichever is lower.</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> 16 SDR 26, effective August 13, 1989; transferred from §&nbsp;67:16:04:08.05, 21 SDR 8, effective July 25, 1994; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 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=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> <br /><hr><br /><html> <head> <title>Rule 67:16:04:45 Rent paid to related-party organization not allowable -- Cost of ownership used.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:45"> <META NAME="Description" Content="Administrative Rules 67:16:04:45 Rent paid to related-party organization not allowable -- Cost of ownership used."> <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>67:16:04:45.&nbsp;&nbsp;Rent paid to related-party organization not allowable -- Cost of ownership used.</b> Rent paid to a related-party organization is not an allowable cost. Actual cost of ownership must be used. For purposes of this rule, cost of ownership is mortgage interest, depreciation on and repairs to buildings and equipment, insurance on buildings and equipment, and property taxes.</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> 16 SDR 26, effective August 13, 1989; transferred from §&nbsp;67:16:04:08.06, 21 SDR 8, effective July 25, 1994; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 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=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> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0 { 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.s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s0691a9aa-8e10-4288-b2d1-0366bebf5f97C2 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; text-decoration: underline; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:46"><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000000">67:16:04:46</span></a><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000001">.  Depreciation.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> The department calculates depreciation </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">as follows</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">:</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002"> </span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    (1)  Masonry buildings </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">are</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> calculated </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">using</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> the straight-line </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">depreciation </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">method not to exceed three percent of the capital cost basis of the building. The capital cost basis for depreciation of new construction, major renovations, and facilities acquired through purchase is subject to a salvage value computation of at least </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">fifteen</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> percent;</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002"> </span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    (2)  Frame buildings </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">are</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> calculated </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">using</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> the straight-line </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">depreciation </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">method not to exceed four percent of the capital cost basis of the building. The capital cost basis for depreciation of new construction, major renovations, and facilities acquired through purchase is subject to a salvage value computation of at least </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">fifteen</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> percent;</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002"> </span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    (3)  Fixed equipment </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">is calculated based on</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> the useful life of the item as determined according to the Estimated Useful Lives of Depreciable Hospital Assets, 20</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">18</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> Edition</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">; and</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002"> </span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    (4)  Major movable equipment, furniture, automobiles, and specialized equipment </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> calculated </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">using</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> the straight-line </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">depreciation </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">method and the useful life of the item </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">i</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">s determined according to the Estimated Useful Lives of Depreciable Hospital Assets, 20</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">18</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> Edition.</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002"> </span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">A</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> facility </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">may</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> deviate from </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">a determination based on </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">the Estimated Useful Lives of Depreciable Hospital Assets if the facility provide</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">s</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> the department with documented historical proof of the asset's useful life.</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002"> </span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> 16 SDR 26, effective August 13, 1989; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:08.07"><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000003">67:16:04:08.07</span></a><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">, 21 SDR 8, effective July 25, 1994; 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 29 SDR 177, effective July 1, 2003; 35 SDR 312, effective July 6, 2009</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">; 59 SDR 11, effective August 7, 2023</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">.</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">.</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">.</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002"> </span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">    </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000001">Reference:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0-000001">Estimated Useful Lives of Depreciable Hospital Assets</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">, 20</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">18</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0"> edition, published by the American Hospital </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">Association, 155 North Wacker Drive, Chicago, Illinois 60606, </span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C2">https://www.aha.org/</span><span style="white-space: pre-wrap;" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97C0">; $88.</span></p><p dir="ltr" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s0691a9aa-8e10-4288-b2d1-0366bebf5f97000002"> </span></p></div></body></html><br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:47 Costs not allowed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:47"> <META NAME="Description" Content="Administrative Rules 67:16:04:47 Costs not allowed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040004700d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>1</o:TotalTime> <o:Created>2009-07-07T13:27:00Z</o:Created> <o:LastSaved>2009-07-07T13:27:00Z</o:LastSaved> <o:Pages>2</o:Pages> <o:Words>368</o:Words> <o:Characters>2101</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>17</o:Lines> <o:Paragraphs>4</o:Paragraphs> <o:CharactersWithSpaces>2465</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:47.&nbsp;&nbsp;Costs not allowed.</b> The following costs are not allowed:<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(1)&nbsp;&nbsp;Income tax;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(2)&nbsp;&nbsp;Compensation paid to owners or employees who serve on a facility's board of directors.<span style='mso-spacerun:yes'>&nbsp; </span>Compensation paid to other board members is limited to $75 a day for each board meeting up to a maximum of 12 meetings each fiscal year;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(3)&nbsp;&nbsp;Promotional and advertising expenses are not allowed except as provided in the <b style='mso-bidi-font-weight:normal'>Medicare Provider Reimbursement Manual</b> (CMS Pub 15-1), as specified in &#167;&nbsp;67:16:04:62;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(4)&nbsp;&nbsp;Travel and entertainment other than for professional meetings and direct operations of the facility;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(5)&nbsp;&nbsp;Costs of motor homes, boats, and other recreational equipment or vehicles, including operation and maintenance;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(6)&nbsp;&nbsp;Donations;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(7)&nbsp;&nbsp;Expenses of non-nursing facilities and operations to be calculated using allocation methods as outlined in the <b style='mso-bidi-font-weight:normal'>Medicare Provider Reimbursement Manual</b> (CMS Pub 15-1), as specified in &#167;&nbsp;67:16:04:62;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(8)&nbsp;&nbsp;Bad debts, charity, and courtesy allowances;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(9)&nbsp;&nbsp;Carryover of costs lost due to any limit in this article;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(10)&nbsp;&nbsp;Costs of legal fees, accounting and consultant services, or other related costs incurred in connection with hearings, arbitration, or judicial proceedings pertaining to reimbursement rates.<span style='mso-spacerun:yes'>&nbsp; </span>However, such costs are allowable when a facility's request for a reimbursement rate adjustment constitutes a valid claim;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(11)&nbsp;&nbsp;Acquisition costs, including legal fees, brokerage fees or commissions, accounting, administration, travel, and feasibility studies. This applies whether the costs are incurred as the result of the purchase or lease of a facility;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(12)&nbsp;&nbsp;Any cost of a sublease that exceeds the cost of the lease between the owner and the first lessee of the current lease;<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(13)&nbsp;&nbsp;Any penalty or fee assessed by a government agency for tardy reporting, nonpayment of any other fee, or any other fee which could have been avoided; and<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(14)&nbsp;&nbsp;Any fee paid for the preparation of the resident assessment after a government agency has withdrawn or suspended its approval for preparation of the document because of improper reporting of a resident's condition.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 15 SDR 68, effective November 7, 1988; 17 SDR 50, effective October 7, 1990; transferred from &#167;&nbsp;67:16:04:06.02, 21 SDR 8, effective July 25, 1994; 21 SDR 172, effective April 3, 1995; 24 SDR 185, effective July 6, 1998; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:48 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:48"> <META NAME="Description" Content="Administrative Rules 67:16:04:48 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040004800d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Created>2009-07-07T13:27:00Z</o:Created> <o:LastSaved>2009-07-07T13:27:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>45</o:Words> <o:Characters>259</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>2</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>303</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><b style='mso-bidi-font-weight:normal'><span style='font-size:12.0pt;mso-bidi-font-size: 10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>67:16:04:48.&nbsp;&nbsp;Department to assign facility to a group.</span></b><span style='font-size:12.0pt; mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'> Repealed.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 16 SDR 26, effective August 13, 1989; transferred from &#167;&nbsp;67:16:04:07.04, 21 SDR 8, effective July 25, 1994; 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; repealed, 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s20316437-8120-4815-813a-d9dd5e3d0a8eP0 { 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; 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margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:49"><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000000">67:16:04:49</span></a><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001">.  Occupancy.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">To determine the </span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">nondirect care per diem rate</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> of a facility</span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">, the department shall use the facility's actual occupancy</span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> or three percent less than the statewide average of all nursing facilities, whichever is greater.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8e000002"> </span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    The department shall waive this provision for the first </span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">twelve</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> months of operation of a newly constructed facility that does not replace an existing facility. For the second </span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">twelve</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> months, the occupancy factor used to establish the facility's per diem rate is three percent less than the statewide average of all nursing facilities</span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> or the facility's actual occupancy for the last quarter of the first </span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">twelve</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> months prorated to </span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">twelve</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> months, whichever is greater.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8e000002"> </span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    </span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> 15 SDR 68, effective November 7, 1988, effective July 1, 1989; 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:06.04"><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000003">67:16:04:06.04</span></a><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">, 21 SDR 8, effective July 25, 1994; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 2004</span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">; 50 SDR 11, effective August 7, 2023</span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    </span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">    </span><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s20316437-8120-4815-813a-d9dd5e3d0a8eC0">.</span></p><p dir="ltr" class="s20316437-8120-4815-813a-d9dd5e3d0a8eP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s20316437-8120-4815-813a-d9dd5e3d0a8e000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 67:16:04:50 Return on net equity.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:50"> <META NAME="Description" Content="Administrative Rules 67:16:04:50 Return on net equity."> <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>67:16:04:50.&nbsp;&nbsp;Return on net equity.</b> A return on net equity is an allowable cost for proprietary facilities. The allowable rate of return is the sum of the average midpoint of the prime interest rate and the average rate of 180-day United States treasury bills as reported on the last business day of June, September, December, and March, divided by two. The rate of return may not exceed ten percent.</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> 16 SDR 26, effective August 13, 1989; 17 SDR 50, effective October 7, 1990; transferred from §&nbsp;67:16:04:08.08, 21 SDR 8, effective July 25, 1994; 23 SDR 42, effective September 30, 1996; 24 SDR 185, effective July 6, 1998; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 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=28-6-1">28-6-1(2).</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&nbsp; <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A></font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0 { 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.s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000003 { 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="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:51"><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000000">67:16:04:51</span></a><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000001">.  Ceilings.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> Ceilings are established using allowable costs as follows:</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    (1)  </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">To determine the case mix adjusted direct care costs of a facility, the department shall use two ceiling calculations</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">. The first ceiling is </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and fifteen</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the median cost of all nursing facilities that have an average case mix score of 1.00 or more for the reporting period. The department </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">shall</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> recognize </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the facility's allowable costs up to the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and fifteen</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling. The second ceiling </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">is one hundred and twenty-five</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the median cost of all nursing facilities that have an average case mix score of 1.00 or more for the reporting period. Payment for the case mix adjusted direct care costs </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> exceed the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and fifteen</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling and are up to the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and twenty-five</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling is calculated according to § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54.01"><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000003">67:16:04:54.01</span></a><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">;</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    (2)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">To determine the nondirect care costs of health and subsistence, plant, plant operations, and other operating costs of a facility, the department shall use two ceiling calculations. </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">The first ceiling is </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and five</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the median cost of all nursing facilities that have an average case mix score of 1.00 or more for the reporting period. The department </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">shall</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> recognize </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the facility s allowable costs up to the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and five</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling. The second ceiling </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">is established </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">at </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and ten</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the median cost of all nursing facilities that have an average case mix score of 1.00 or more for the reporting period. Payment for these nondirect care costs </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> exceed the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and five</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling and are up to the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and ten</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling is calculated according to § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54.02"><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000003">67:16:04:54.02</span></a><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">;</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    (3)  </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">To determine the nondirect care costs of administration of a facility, the department shall use two ceiling calculations. </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">The first ceiling is </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and five</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the median cost of all freestanding nonchain organization affiliated nursing facilities. The department </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">shall</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> recognize </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the facility's allowable costs up to the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and five</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling. The second ceiling </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">is one hundred and ten</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent of the median cost of all freestanding nonchain organization affiliated nursing facilities. Payment for the nondirect care costs of administration </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">that</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> exceed the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and five</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling and are up to the </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">one hundred and ten</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> percent ceiling is calculated according to § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54.03"><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000003">67:16:04:54.03</span></a><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">; and</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    (4)  </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">Beginning July 1, 2023</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">, capital costs are </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">limited to a ceiling of twenty dollars and ninety-five cents</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> per resident day.</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> 21 SDR 8, effective July 25, 1994; 23 SDR 42, effective September 30, 1996; 24 SDR 185, effective July 6, 1998; 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 2004; 35 SDR 312, effective July 6, 2009</span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">; 50 SDR 11, effective August 7, 2023</span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">.</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">.</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">.</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    </span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000001">Cross-References</span><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000001">:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">Method of establishing per diem rates, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54"><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000003">67:16:04:54</span></a><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">.</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">    </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">State fiscal year, SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=4-10-10"><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0-000003">4-10-10</span></a><span style="white-space: pre-wrap;" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdC0">.</span></p><p dir="ltr" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bdP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s22f2fa85-ee56-49e4-a00f-b8315a0810bd000002"> </span></p></div></body></html><br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sd20bb674-d317-4b5c-9741-bba204291369P0 { 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.sd20bb674-d317-4b5c-9741-bba204291369C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd20bb674-d317-4b5c-9741-bba204291369C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd20bb674-d317-4b5c-9741-bba204291369C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd20bb674-d317-4b5c-9741-bba204291369C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd20bb674-d317-4b5c-9741-bba204291369000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:52"><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000000">67:16:04:52</span></a><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000001">.  Maximum capital cost for leased facility.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0"> The maximum capital cost for leased facilities is limited to the lower of actual costs or the total capital costs per resident day established in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:51"><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000002">67:16:04:51</span></a><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0">.</span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369000003"> </span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0">    The capital cost items for computing the above limit consist of rent, building insurance, building depreciation, furniture and equipment depreciation, amortization of organization and preoperating costs, capital related interest, and return on net equity. The capital cost items are allowable only if incurred and paid by the lessee. Capital costs incurred by the lessor and passed on to the lessee </span><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0">are not allowed</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0"> in any other manner than as outlined in this section. No reimbursement is allowed for additional costs related to subleases.</span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369000003"> </span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0">    The maximum allowed for the rental component of the capital cost items for facilities negotiating new leases and facilities renewing, assigning, selling, transferring, or otherwise changing existing leases, is limited to the lower of actual lease costs or </span><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0">seventy</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0"> percent of the average per diem cost of the capital cost for owner-managed facilities, excluding hospital-affiliated facilities.</span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369000003"> </span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0">    </span><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0"> 16 SDR 26, effective August 13, 1989; 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:08.09"><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000002">67:16:04:08.09</span></a><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0">, 21 SDR 8, effective July 25, 1994; 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 2004; 35 SDR 312, effective July 6, 2009</span><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0">; 50 SDR 11, effective August 7, 2023</span><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0">.</span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0">    </span><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000002">28-6-1</span></a><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0">.</span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0">    </span><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0-000002">28-6-1</span></a><span style="white-space: pre-wrap;" class="sd20bb674-d317-4b5c-9741-bba204291369C0">.</span></p><p dir="ltr" class="sd20bb674-d317-4b5c-9741-bba204291369P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sd20bb674-d317-4b5c-9741-bba204291369000003"> </span></p></div></body></html><br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:53 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:53"> <META NAME="Description" Content="Administrative Rules 67:16:04:53 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040005300d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Created>2009-07-07T13:28:00Z</o:Created> <o:LastSaved>2009-07-07T13:28:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>42</o:Words> <o:Characters>245</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>2</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>286</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:53.&nbsp;&nbsp;Change of ownership.</b> Repealed.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 15 SDR 68, effective November 7, 1988; 16 SDR 26, effective August 13, 1989; transferred from &#167;&nbsp;67:16:04:06.05, 21 SDR 8, effective July 25, 1994; 21 SDR 172, effective April 3, 1995; repealed, 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0 { 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.sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003 { 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="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000000">67:16:04:54</span></a><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000001">.  Method of establishing per diem rates.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> The department shall establish a case mix adjusted direct care per diem rate and a nondirect care per diem rate for each facility prior to July </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">first</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> of each year. These rates are based on the facility's allowable costs, the facility's </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">Patient Driven Payment Model</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> case mix score, inflation factors, cost ceilings, occupancy, and known future cost increases that have prior departmental approval.</span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0000002"> </span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">    The case mix adjusted direct care per diem rate is established on a facility-specific basis using allowable direct patient care costs and paid according to the </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">Patient Driven Payment Model</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> index </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">under the Patient Driven Payment Model classification system </span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">on a resident-specific basis. The case mix adjusted direct care per diem rate is established by calculating the average </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">Patient Driven Payment Model</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> case mix score for the facility, determining the per diem case mix component cost for the facility by dividing the allowable cost by </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">total resident days</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">, and dividing the facility's per diem case mix component cost by its </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">Patient Driven Payment Model</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> average case mix score. The case mix adjusted direct care per diem cost is used to establish the case mix adjusted direct care cost ceilings established in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:51"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">67:16:04:51</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">, and the case mix adjusted direct care per diem rate is subject to those ceilings and the payment limits established in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54.01"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">67:16:04:54.01</span></a><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">.</span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0000002"> </span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">    The nondirect care per diem rate is established on a facility-specific basis using all other allowable costs. The nondirect care per diem rate is based on cost components consisting of health and subsistence, general administrative, other operating, plant</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">, plant </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">operation</span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">s</span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">, and capital. T</span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">h</span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">e nondirect care per diem rate</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> is established by dividing</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> the allowable nondirect care costs</span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> by the occupancy determined according to § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:49"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">67:16:04:49</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">. The allowable nondirect care costs are used to establish the ceilings contained in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:51"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">67:16:04:51</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">, and the nondirect care per diem rate is subject to those ceilings and the payment limits established in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54.02"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">67:16:04:54.02</span></a><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">. The nondirect care cost is not subject to case mix adjustment.</span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0000002"> </span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">    The per diem rate for the nondirect care costs of administration is subject to the payment limits established in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54.03"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">67:16:04:54.03</span></a><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">.</span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0000002"> </span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">    </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> 16 SDR 26, effective August 13, 1989; 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:07.05"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">67:16:04:07.05</span></a><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">, 21 SDR 8, effective July 25, 1994; 23 SDR 42, effective September 30, 1996; 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 2004</span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">; 50 SDR 11, effective August 7, 2023</span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">.</span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">    </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">.</span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">    </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">.</span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0000002"> </span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">    </span><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000001">Cross-Reference:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0"> Payment adjustment due to review of resident assessment, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:08"><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0-000003">67:45:03:08</span></a><span style="white-space: pre-wrap;" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0C0">.</span></p><p dir="ltr" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="sc85152dd-a6a4-41d8-850e-f8b71fa9e2d0000002"> </span></p></div></body></html><br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:54.01 Method of establishing per diem rates -- Case mix adjusted direct care costs.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:54.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:54.01 Method of establishing per diem rates -- Case mix adjusted direct care costs."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040005401d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Created>2009-07-07T18:26:00Z</o:Created> <o:LastSaved>2009-07-07T18:26:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>111</o:Words> <o:Characters>635</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>5</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>745</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-format:other; mso-font-pitch:variable; mso-font-signature:3 0 0 0 1 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-1610611985 1073750139 0 0 159 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Times; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:54.01.&nbsp;&nbsp;Method of establishing per diem rates -- Case mix adjusted direct care costs.</b> When calculating the allowable payment for the case mix adjusted direct care costs for the state fiscal year 2005 and thereafter, the department shall pay 80 percent of the costs between the 115 and 125 percent ceilings.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The department does not recognize any case mix adjusted direct care costs which exceed 125 percent.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 2004; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Cross-Reference:</b> Ceilings, &#167;&nbsp;67:16:04:51.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:54.02 Method of establishing per diem rates -- Nondirect care costs of health and subsistence, plant/operational, and other operating costs.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:54.02"> <META NAME="Description" Content="Administrative Rules 67:16:04:54.02 Method of establishing per diem rates -- Nondirect care costs of health and subsistence, plant/operational, and other operating costs."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040005402d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Created>2009-07-07T13:28:00Z</o:Created> <o:LastSaved>2009-07-07T13:28:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>137</o:Words> <o:Characters>785</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>6</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>921</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:54.02.&nbsp;&nbsp;Method of establishing per diem rates -- Nondirect care costs of health and subsistence, plant/operational, and other operating costs.</b> When calculating the allowable payment for the nondirect care costs of health and subsistence, plant/operational, and other operating costs for the state fiscal year 2005 and thereafter, the department shall pay 80 percent of the costs between the 105 and 110 percent ceilings.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The department does not recognize any of the nondirect care costs of health and subsistence, plant/operation, and other operating costs which exceed 110 percent.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 2004; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Cross-Reference:</b> Ceilings, &#167;&nbsp;67:16:04:51.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:54.03 Method of establishing per diem rates -- Nondirect care costs of administration.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:54.03"> <META NAME="Description" Content="Administrative Rules 67:16:04:54.03 Method of establishing per diem rates -- Nondirect care costs of administration."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040005403d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>1</o:TotalTime> <o:Created>2009-07-07T13:28:00Z</o:Created> <o:LastSaved>2009-07-07T13:28:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>113</o:Words> <o:Characters>649</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>5</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>761</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:54.03.&nbsp;&nbsp;Method of establishing per diem rates -- Nondirect care costs of administration.</b> When calculating the allowable payment for the nondirect care costs of administration for the state fiscal year 2005 and thereafter, the department shall pay 80 percent of the costs between the 105 and 110 percent ceilings.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The department does not recognize any of the nondirect care costs of administration which exceed 110 percent.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 29 SDR 177, effective July 1, 2003; 29 SDR 177, adopted July 1, 2003, effective July 1, 2004; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Cross-Reference:</b> Ceilings, &#167;&nbsp;67:16:04:51.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:55 Provisional per diem rates.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:55"> <META NAME="Description" Content="Administrative Rules 67:16:04:55 Provisional per diem rates."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040005500d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Created>2009-07-07T13:28:00Z</o:Created> <o:LastSaved>2009-07-07T13:28:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>139</o:Words> <o:Characters>798</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>6</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>936</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:55.&nbsp;&nbsp;Provisional per diem rates.</b> The department shall establish provisional per diem rates for newly constructed facilities and for facilities experiencing major expansion. The department shall calculate provisional per diem rates according to &#167;&nbsp;67:16:04:54 and shall base the rates on projected costs to be submitted to the department prior to the opening date of a newly constructed facility. Provisional per diem rates are effective for six months only. After six months, the department shall adjust rates retroactively on the basis of actual costs.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 16 SDR 26, effective August 13, 1989; 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from &#167;&nbsp;67:16:04:07.05, 21 SDR 8, effective July 25, 1994; 26 SDR 5, effective July 1, 1999; 26 SDR 21, effective August 24, 1999; 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1(2).</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:56 Per diem rates as payment in full.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:56"> <META NAME="Description" Content="Administrative Rules 67:16:04:56 Per diem rates as payment in full."> <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>67:16:04:56.&nbsp;&nbsp;Per diem rates as payment in full.</b> The per diem rates established by the department are applied to every resident in the facility who is eligible for Medicaid, excluding those classified as assisted living, and payment made on behalf of an eligible individual is considered payment in full as provided in §&nbsp;67:16:01:07.</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; Additional amounts may be payable as add-on payments.</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> 16 SDR 26, effective August 13, 1989; 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from §&nbsp;67:16:04:07.05, 21 SDR 8, effective July 25, 1994; 26 SDR 21, effective August 24, 1999.</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> <p><font size=3 face="Times New Roman">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Cross-References:</b> Add-on payment -- Ventilator, §&nbsp;67:16:04:59; Payment adjustment due to review of resident assessment, §&nbsp;67:45:03:08.</font></p> <p><font size=3 face="Times New Roman">&nbsp;</font></p> </div> </body> </html> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:56.01 Per diem rate -- Existing facility experiencing new operational ownership.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:56.01"> <META NAME="Description" Content="Administrative Rules 67:16:04:56.01 Per diem rate -- Existing facility experiencing new operational ownership."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040005601d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>1</o:TotalTime> <o:Created>2009-07-07T18:26:00Z</o:Created> <o:LastSaved>2009-07-07T18:26:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>92</o:Words> <o:Characters>526</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>4</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>617</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; 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mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:56.01.&nbsp;&nbsp;Per diem rate -- Existing facility experiencing new operational ownership.</b> For a facility acquired through purchase or a capital lease, the daily rate of reimbursement is the amount paid to the facility under the previous operator as determined according to &#167;&nbsp;67:16:04:54. This rate shall be adjusted by inflation or other increases as appropriated by the South Dakota Legislature until the facility's new required financial reports are used to calculate rates according to &#167;&nbsp;67:16:04:54.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><b style='mso-bidi-font-weight: normal'><span style='font-size:12.0pt'>Source:</span></b><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'> 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A><o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns="http://www.w3.org/TR/REC-html40"> <head> <title>Rule 67:16:04:57 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:57"> <META NAME="Description" Content="Administrative Rules 67:16:04:57 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=ProgId content=Word.Document> <meta name=Generator content="Microsoft Word 10"> <meta name=Originator content="Microsoft Word 10"> <link rel=File-List href="6716040005700d_files/filelist.xml"> <!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>lrpr14533</o:Author> <o:LastAuthor>lrpr14296</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>0</o:TotalTime> <o:Created>2009-07-07T13:28:00Z</o:Created> <o:LastSaved>2009-07-07T13:28:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>49</o:Words> <o:Characters>280</o:Characters> <o:Company>State of South Dakota</o:Company> <o:Lines>2</o:Lines> <o:Paragraphs>1</o:Paragraphs> <o:CharactersWithSpaces>328</o:CharactersWithSpaces> <o:Version>10.6845</o:Version> </o:DocumentProperties> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:PunctuationKerning/> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <style> <!-- /* Font Definitions */ @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-format:other; mso-font-pitch:variable; mso-font-signature:3 0 0 0 1 0;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4; mso-font-charset:0; mso-generic-font-family:swiss; mso-font-pitch:variable; mso-font-signature:-1610611985 1073750139 0 0 159 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Times; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:Calibri;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=EN-US style='tab-interval:.5in'> <div class=Section1> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>67:16:04:57.&nbsp;&nbsp;Effective dates of per diem rates -- Interim rate adjustment.</b> Repealed.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><b style='mso-bidi-font-weight:normal'>Source:</b> 16 SDR 26, effective August 13, 1989; 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from &#167; 67:16:04:07.05, 21 SDR 8, effective July 25, 1994; repealed, 35 SDR 312, effective July 6, 2009.<o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;tab-stops:.4in .6in .9in 1.1in 1.4in 1.6in 1.9in 2.1in 2.4in 2.6in 2.9in 3.1in 3.4in 3.6in 3.9in 4.1in'><span style='font-size:12.0pt;mso-bidi-font-size:10.0pt;font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> </div> </body> </html> <br /><hr><br /><html> <head> <title>Rule 67:16:04:58 Facility's average per diem charge.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:58"> <META NAME="Description" Content="Administrative Rules 67:16:04:58 Facility's average per diem charge."> <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>67:16:04:58.&nbsp;&nbsp;Facility's average per diem charge.</b> A nursing facility which elects to participate in the Medicaid program must notify the department of its average per diem charge to individuals who are not presently receiving nursing facility benefits under Medicare, Medicaid, or Veterans Administration programs. Notice must be made by the first day of the third month after the department notifies the facility of the Medicaid per diem rates set by the department.</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; Medicaid reimbursement is limited to the lower of the facility's average private pay per diem charge, as case mix adjusted, or the facility's Medicaid per diem rates for direct and nondirect care established by the department by July 1 of each year. If the facility's case mix adjusted average private pay per diem charge is less than the facility's case mix adjusted Medicaid per diem rate, the department shall amend the facility's case mix adjusted Medicaid rate to be no greater than the facility's case mix adjusted private pay per diem charge.</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> 17 SDR 50, effective October 7, 1990; 18 SDR 67, effective October 13, 1991; transferred from §&nbsp;67:16:04:07.07, 21 SDR 8, effective July 25, 1994.</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> <br /><hr><br /><html> <head> <title>Rule 67:16:04:59 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:59"> <META NAME="Description" Content="Administrative Rules 67:16:04:59 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif; color:black;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:#954F72; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; color:black;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink="#954F72"> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:04:59.&nbsp;&nbsp;Add-on payment -- Ventilator.</b> </span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'>Repealed</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 16 SDR 26, effective August 13, 1989; 18 SDR 67, effective October 13, 1991; transferred from &#167;&nbsp;67:16:04:08.04, 21 SDR 8, effective July 25, 1994; 44 SDR 94, effective December 4, 2017.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s536cefe8-d920-40e3-895b-4afebbfcff87P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; 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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="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:60"><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000000">67:16:04:60</span></a><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000001">.  Basis of payment.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> Payment to participating providers of nursing facility services is made on the following basis:</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87000002"> </span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    (1)  Payment to </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">an </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">in-state facilit</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">y</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> is calculated using the per diem rates according to § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:54"><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000003">67:16:04:54</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">, multiplying the case mix adjusted direct care per diem rate by the resident's </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">Patient Driven Payment Model</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> weight established by the resident assessment, and adding the nondirect care rate for each day the Medicaid resident is an inpatient resident;</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87000002"> </span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    (2)  Payment to </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">an </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">out-of-state facilit</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">y</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> providing nursing </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">facility </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">services to residents of South Dakota is the lesser of the Medicaid rate established by the state in which the facility is located or the South Dakota statewide average Medicaid rate for all in</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">-</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">state facilities. Payment to </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">an </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">out-of-state facilit</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">y</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> for care not available at </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">an </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">in</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">-</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">state facilit</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">y</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> is the rate recognized for the facility by the Medicaid agency in the state in which the facility is located;</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87000002"> </span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    (3)  Payment for reserved bed days is governed by the provisions of § </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:02:04"><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000003">67:45:02:04</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> and is based on the resident's latest resident assessment and </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">Patient Driven Payment Model nursing case mix group</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> at the time of the resident's absence;</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87000002"> </span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    (4)  </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">A s</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">wing-bed hospital</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> is</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> reimbursed at a daily rate established by the department. The daily rates are located on the department's fee schedule website; and</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87000002"> </span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    (5)  Coinsurance under the Medicare program is payable at the Medicare coinsurance rate.</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87000002"> </span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> SL 1975, ch 16, § 1; 2 SDR 16, effective September 4, 1975; 2 SDR 88, effective July 1, 1976; 7 SDR 23, effective September 18, 1980; 7 SDR 76, effective February 11, 1981; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 8 SDR 11, effective August 13, 1981; 11 SDR 26, effective August 21, 1984; 15 SDR 68, effective November 7, 1988; 16 SDR 26, effective August 13, 1989; 18 SDR 67, effective October 13, 1991; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:08"><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000003">67:16:04:08</span></a><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">, 21 SDR 8, effective July 25, 1994; 24 SDR 185, effective July 6, 1998; 26 SDR 21, effective August 24, 1999; 38 SDR 224, effective July 1, 2012; 42 SDR 51, effective October 13, 2015</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">; 50 SDR 11, effective August 7, 2023</span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">.</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">.</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000003">28-6-1</span></a><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">(2).</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87000002"> </span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">    </span><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000001">Cross-Reference:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0"> Payment adjustment due to review of resident assessment, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:08"><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0-000003">67:45:03:08</span></a><span style="white-space: pre-wrap;" class="s536cefe8-d920-40e3-895b-4afebbfcff87C0">.</span></p><p dir="ltr" class="s536cefe8-d920-40e3-895b-4afebbfcff87P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s536cefe8-d920-40e3-895b-4afebbfcff87000002"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 67:16:04:61 Preadmission screening.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:61"> <META NAME="Description" Content="Administrative Rules 67:16:04:61 Preadmission screening."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; text-align:justify; font-size:12.0pt; font-family:"Times New Roman","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:04:61.&nbsp;&nbsp;Preadmission screening.</b> No payment may be made in behalf of a resident of a nursing facility who is mentally ill or intellectually or developmentally disabled and who was admitted to the facility after December 31, 1988, and did not receive the preadmission screening as required by &#167;&nbsp;1919(b)(3)(F) of the Social Security Act as amended by &#167;&nbsp;4211 of Pub. L. No. 100-203, (101 Stat. 1330-183), January 1, 1989.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 16 SDR 26, effective August 13, 1989; transferred from &#167;&nbsp;67:16:04:30, 21 SDR 8, effective July 25, 1994; 40 SDR 122, effective January 8, 2014.</p> <p class=MsoNormal>&nbsp;&nbsp;&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></p> <p class=MsoNormal>&nbsp;&nbsp;&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></p> <p class=MsoNormal>&nbsp;</p> </div> </body> </html> <br /><hr><br /><html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s8bbc630b-768f-4329-a4d9-e030030c0b01P0 { 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.s8bbc630b-768f-4329-a4d9-e030030c0b01C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8bbc630b-768f-4329-a4d9-e030030c0b01C2 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; text-decoration: underline; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8bbc630b-768f-4329-a4d9-e030030c0b01000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:62"><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000000">67:16:04:62</span></a><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">.  Medicare Provider Reimbursement Manual.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0"> </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">P</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">rovider reimbursement under the provisions of this chapter and chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:44"><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000002">67:16:44</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0"> is made by the </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">department </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">according to</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0"> the </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">Medicare Provider Reimbursement Manual</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0"> (CMS Pub </span><a href="https://sdlegislature.gov/Statutes?Statute=15-1"><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000002">15-1</span></a><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">), (</span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">December 2021</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">) available at </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C2">https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Paper-Based-Manuals</span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">.</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01000003"> </span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">    </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0"> 21 SDR 172, effective April 3, 1995; 23 SDR 109, effective January 5, 1997; 26 SDR 21, effective August 24, 1999; 26 SDR 168, effective July 1, 2000; 28 SDR 1, effective July 18, 2001; 29 SDR 177, effective July 1, 2003; 35 SDR 312, effective July 6, 2009; 46 SDR 50, effective October 10, 2019</span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">; 50 SDR 11, effective August 7, 2023</span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">.</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">    </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000002">28-6-1</span></a><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">.</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">    </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000002">28-6-1</span></a><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">.</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01000003"> </span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">    </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">Cross-References:</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">    Absence of regulations -- Allowable costs based on CMS-15, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:40"><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000002">67:16:04:40</span></a><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">.</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">    Costs not allowed, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:47"><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000002">67:16:04:47</span></a><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">.</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01000003"> </span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">    </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">Reference:</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">    </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000001">Medicare Provider Reimbursement Manual</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0"> (CMS Pub </span><a href="https://sdlegislature.gov/Statutes?Statute=15-1"><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0-000002">15-1</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">), </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">March 31, 2023, published by the Centers for Medicare and Medicaid Services, </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">available </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">to download at no cost </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">at </span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C2">https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Paper-Based-Manuals</span><span style="white-space: pre-wrap;" class="s8bbc630b-768f-4329-a4d9-e030030c0b01C0">.</span></p><p dir="ltr" class="s8bbc630b-768f-4329-a4d9-e030030c0b01P0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s8bbc630b-768f-4329-a4d9-e030030c0b01000003"> </span></p></div></body></html><br /><hr><br /><html> <head> <title>Rule 67:16:04:63 Repealed.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:04:63"> <META NAME="Description" Content="Administrative Rules 67:16:04:63 Repealed."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; text-align:justify; font-size:12.0pt; font-family:"Times New Roman",serif; color:black;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:#954F72; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; color:black;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink="#954F72"> <div class=WordSection1> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:04:63.&nbsp;&nbsp;Add-on payment  Specialty bed.</b> Repealed.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 24 SDR 185, effective July 6, 1998; 35 SDR 312, effective July 6, 2009; 42 SDR 51, effective October 13, 2015; 44 SDR 94, effective December 4, 2017.</p> <p class=MsoNormal>&nbsp;</p> </div> </body> </html>