S.D. Admin. R. 24:14:04:12

Current through Register Vol. 51, page 67, December 16, 2024
Section 24:14:04:12 - Payment for provision of early intervention services

The department shall pay providers for authorized services according to the established Medicaid rates, as referenced in § 67:16:02:01.01. Eligible early intervention services are reimbursed at the Medicaid rate. Rates for early intervention services that are not eligible Medicaid services and therefore do not have a Medicaid rate, are as provided in this section. Except as identified under § 24:14:04:10, funds under this article must be used to provide payment for the provision of early intervention services that meet the requirements under §§ 24:14:08:01 to 24:14:08:20, inclusive. Rates identified are for a 15-minute unit of service. Fractions of a unit are rounded up to the next unit. A provider may bill for services only if the recipient was present.

Service

Rate

Assistive technology service and device

Usual and customary charge

Family training, counseling, and home visits -- unless medical in nature and provided by a qualified mental health professional. In those cases the Medicaid rate applies.

-calculated at 80% of commonly billed Speech rate

Special instruction

calculated at 80% of commonly billed Speech rate

S.D. Admin. R. 24:14:04:12

26 SDR 153, effective 5/22/2000; 28 SDR 105, effective 1/31/2002; 35 SDR 82, effective 10/22/2008; 49 SDR 7, effective 7/31/2022

General Authority: SDCL 13-37-1.1

Law Implemented: SDCL 13-1-23, 13-14-1, 13-37-1.1