28-13-26. Employment of physician to attend poor persons in county–Annual salary–Monthly report by physician. Each board of county commissioners may annually employ a duly qualified physician and surgeon registered and licensed in the healing arts, as the term “healing arts” is defined by chapter 36-2, as county physician, whose duty it shall be to attend […]
28-13-27. Hospitalization of poor persons–Definition of terms. Terms used in this chapter mean: (1)”Actual cost of hospitalization,” the actual cost to a hospital of providing hospital services to a medically indigent person, determined by applying the ratios of costs to charges appearing on the statement of costs required in §28-13-28 to charges at the hospital […]
28-13-27.1. Medically necessary hospital services. Medically necessary hospital services are services provided in a hospital which meet the following criteria: (1)Are consistent with the person’s symptoms, diagnosis, condition, or injury; (2)Are recognized as the prevailing standard and are consistent with generally accepted professional medical standards of the provider’s peer group; (3)Are provided in response to […]
28-13-27.2. Cost guidelines for medical and remedial services. Except for the costs of emergency hospital services, a county may adopt guidelines which define the amount, scope, and duration of medical and remedial services available to eligible persons and the basis for and extent of payments made to providers by counties on behalf of eligible persons. […]
28-13-28. Statement of costs required of hospital caring for indigent persons–Frequency of statements. A hospital may avail itself of the provisions of this chapter for purposes of determining payment for hospitalization of a medically indigent person only if the hospital has filed a detailed statement of costs with the secretary of social services in the […]
28-13-29. Cost governed by statement or amendment–Claim against county not to exceed usual hospital rates. The amount of reimbursement for hospital services is the amount calculated pursuant to §28-13-32.9. It may not exceed the actual cost of hospitalization as defined in subdivision 28-13-27(1) or an amount established by the secretary of the Department of Social […]
28-13-3. Residency required for assistance–Establishment. Except as otherwise provided in this chapter, any person, in order to be entitled to assistance, shall have an established residency in the state, and in the county where the application is made. The residency shall be established by his personal presence, in a fixed and permanent abode and his […]
28-13-30. Approval of statement by secretary–Modification of items in statement. The secretary of social services shall make such investigation as necessary, and shall approve the statement of costs only if the statement is accurate, complete, and reliable as could reasonably be expected, and that it discloses, as nearly as may be reasonably determined, the ratios […]
28-13-31. Continuation of statement in effect until withdrawn or amended–Effective date of amendments–Statements available for inspection. No statement of costs, or amendment thereto, may take effect until approved by the secretary of social services and the expiration of thirty days from the filing thereof, and thereafter, for purposes of this chapter, shall remain in full […]
28-13-32. County commissioners’ objections to statements. Any board of county commissioners may at any time file, with the secretary of social services and the hospital concerned, objections in writing to any such statement of costs, any items therein, or amended thereto, which objections shall be passed upon by the secretary. Source: SL 1953, ch 131, […]
28-13-32.10. Indigency by design. If an individual is indigent by design, the individual is ineligible for medical assistance under the provisions of this chapter and there may be no other criteria used to determine eligibility. Source: SL 1997, ch 170, §22.
28-13-32.11. Determination of household’s ability to purchase health insurance. For purposes of subsections 28-13-27(6)(c) and (d), when determining whether the household was financially able to purchase health insurance which would have covered the medical costs the county is being requested to pay, the county shall use the following methodology: (1)Determine the household’s income and resources […]
28-13-32.3. Medical indigency required for poor relief assistance in the event of hospitalization–Application required–Time–Limitation. To receive assistance under this chapter for the costs of hospitalization, a person must be medically indigent as defined in §28-13-1.3. The person or someone acting on behalf of the person shall apply to the person’s county of residence for assistance […]
28-13-32.4. Submission of application by hospital within one year of discharge–Contents–Additional information not to be required. An application made by a hospital on behalf of a medically indigent person pursuant to §28-13-32.3 shall be submitted to the county auditor within one year of the discharge of the indigent. The application shall include: (1)The notice of […]
28-13-32.5. Determining medical indigence–Annual income guideline. For purposes of determining medical indigence, the county shall establish an annual income guideline for the person which is derived as follows: (1)Using the housing index established in §28-13-32.6, determine the housing index for the person’s county of residence. Multiply the county index by three hundred six dollars, the […]
28-13-32.6. Housing indexes by county. The housing index for each county is as follows: COUNTY HOUSING INDEX Aurora 0.65 Beadle 0.91 Bennett 0.86 Bon Homme 0.71 Brookings 0.96 Brown 0.95 Brule 0.80 Buffalo 0.77 Butte 0.91 Campbell 0.74 Charles Mix 0.65 Clark 0.72 Clay 0.95 Codington 0.92 Corson 0.47 Custer 1.03 Davison 0.90 Day 0.78 […]
28-13-32.7. Determining household income–Sources. For the purpose of determining a household’s income, the county shall consider all sources of income, including the following: (1)Compensation paid to household members for personal services, whether designated as gross salary, wages, commissions, bonus, or otherwise; (2)Net income from self-employment, including profit or loss from a business, farm, or profession; […]
28-13-32.8. Household resources. For the purpose of determining a household’s resources, the county shall consider all resources, including: (1)Equity value of the household’s primary residence, excluding the homestead exemption provided for in subdivision 43-45-3(2); (2)Equity value of other real property; (3)Equity value of major recreational and other leisure equipment including watercraft, campers, recreational vehicles, all-terrain […]
28-13-32.9. Determination of person’s ability to pay–Factors. A county is financially responsible only for the hospitalization expense which is beyond the person’s ability to pay. A person’s ability to pay is determined according to the following: (1)Determine the household’s contributions for taxes, social security, medicare, and payments to other standard retirement programs. A household’s contribution […]
28-13-33. County liability for emergency and nonemergency hospitalization of indigent persons–Remedies for recovery of expense by county. Subject to the provisions of this chapter and except as expressly provided, if a hospital furnishes emergency hospital services to a medically indigent person, the county where the medically indigent person has established residency is liable to the […]
