62 chapters · 771 sections in this title.
SDCL § 22-45-1 Definition of terms
1.6K chars
Terms as used in this chapter mean: (1) "Benefit," any benefit authorized under the medical services program of the State Department of Social Services; (2) "Claim," any communication, whether oral, written, electronic, or magnetic, which is utilized to identify a good, item, or …
SDCL § 22-45-10 Use of other civil or criminal remedy not precluded
0.2K chars
The provisions of this chapter are not intended to be exclusive remedies and do not preclude the use of any other criminal or civil remedy. Source: SL 1986, ch 187 , § 10.
SDCL § 22-45-11 Limitation on civil action
0.1K chars
No civil action may be brought under this chapter more than six years after the cause of action accrues. Source: SL 1986, ch 187 , § 11.
SDCL § 22-45-2 Action by which claimant commits an offense--Violation a felony
1.0K chars
A person commits an offense if he: (1) Makes or causes to be made a claim, knowing the claim to be false, in whole or in part, by commission or omission; or (2) Makes or causes to be made a statement or representation for use in obtaining or seeking to obtain authorization to pro…
SDCL § 22-45-3 Application to participate as provider--Perjury for submitting false statements--Violation a felony
0.7K chars
Each application to participate as a provider in the program, each report stating income or expense upon which rates of payment are or may be based, and each invoice for payment for a good or a service provided to the recipient shall contain a statement that all matters stated th…
SDCL § 22-45-4 Action of person aiding provider with goods or services or referring individuals to provider for which additional value received an offense--Violation a felony
1.2K chars
A person commits an offense if he: (1) Acting on behalf of a provider, purchases or leases goods, services, materials, or supplies for which payment may be made, in whole or in part, under the program and solicits or accepts anything of additional value in return for or in connec…
SDCL § 22-45-5 Offense of acceptance of amount in addition to amount legally payable under program--Violation a felony
0.4K chars
A person commits an offense if he, acting on behalf of a provider providing a good or a service to a recipient under the program, charges, solicits, accepts, or receives anything of additional value in addition to the amount legally payable under the program in connection with a …
SDCL § 22-45-6 Failure to keep necessary records upon which claim is based--Violation a misdemeanor
0.7K chars
A person commits an offense if he: (1) Having submitted a claim for or received payment for a good or a service under the program, intentionally fails to maintain such records as are necessary to disclose fully the nature of all a good or a service for which a claim was submitted…
SDCL § 22-45-7 Liability for receipt of payment by person not entitled thereto
1.0K chars
Any person who receives payment for furnishing a good or a service under the program, which the person is not entitled to receive by reason of offenses under §§ 22-45-2 to 22-45-6 , inclusive, may in addition to any other penalties provided by law, be liable for civil penalties o…
SDCL § 22-45-8 Suspension or exclusion from participation as provider of person convicted of committing offense
0.4K chars
Any person providing a good or a service under the program who has been determined to have committed an offense under §§ 22-45-2 to 22-45-7 , inclusive, may be suspended or excluded from participation as a provider or an employee of a provider for a period to be determined by the…
SDCL § 22-45-9 Access to records by attorney general, state medicaid control unit, and grand jury
1.5K chars
The attorney general and the state medicaid fraud control unit, upon reasonable request, and the grand jury, upon subpoena therefore, shall have full access to all records held by a provider or by any other person on his behalf, which could be relevant in any manner to the determ…