S.D. Admin. R. 44:06:06:01

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Current through Register Vol. 51, page 56, November 4, 2024

Section 44:06:06:01 - Chronic medical conditions covered

Chronic medical conditions which may be covered for an eligible individual include the following:

(1) Genetics:

(a) Multiple anomaly syndromes;

(b) Genetic conditions; and

(c) Chromosomal disorders;

(2) Cardiology:

(a) Cyanotic heart disease;

(b) Acyanotic heart disease;

(c) Cardiomyopathies and pericarditis;

(d) Rheumatic heart disease;

(e) Arrythmias;

(f) Systemic hypertension;

(g) Kawasaki disease; and

(h) Other cardiac conditions which are complex and chronic;

(3) Gastroenterology:

(a) Malabsorption syndrome/disorders;

(b) Inflammatory bowel disease/ulcerative colitis;

(c) Congenital abnormalities of gastrointestinal tract, excluding pyloric stenosis and umbilical or femoral/inguinal hernias;

(d) Esophageal reflux; and

(e) Other gastrointestinal conditions which are complex and chronic;

(4) Pulmonary:

(a) Cystic fibrosis;

(b) Asthma;

(c) Bronchopulmonary dysplasia;

(d) Pectus excovatum;

(e) Tracheo - esophageal Fistula (with or without reflux); and

(f) Other pulmonary conditions which are complex and chronic;

(5) Craniofacial anomalies:

(a) Cleft lip and palate; and

(b) Other congenital craniofacial anomalies that are complex and chronic;

(6) Endocrinology:

(a) Thyroid malfunction;

(b) Delayed adolescence;

(c) Parathyroid malfunction;

(d) Sexual precocity;

(e) Pituitary tumors;

(f) Inborn errors of metabolism;

(g) Diabetes mellitus or insipidus; and

(h) Other endocrine conditions which are complex and chronic;

(7) Hematology/hemophilia/oncology:

(a) Chronic anemia;

(b) Neutropenias;

(c) Leukemias;

(d) Clotting disorders;

(e) Solid tumors;

(f) Hemophilia A;

(g) Hemophilia B; and

(h) Other hematology/oncology conditions which are complex and chronic;

(8) Children's rehabilitation:

(a) Congenital hydrocephalus;

(b) Myelomeningocele;

(c) Juvenile rheumatoid arthritis;

(d) Scoliosis;

(e) Congenital dislocation of the hip;

(f) Slipped capital femoral epiphysis;

(g) Club foot; and

(h) Other multiple physical disabilities which are complex and chronic;

(9) Neurology:

(a) Congenital anomalies of the central nervous system;

(b) Seizure disorders;

(c) Chronic neuromuscular disorders;

(d) Cerebral palsy; and

(e) Other neurological disorders which are complex and chronic;

(10) Renal:

(a) Chronic glomerulonephritis;

(b) Nephrosis;

(c) Chronic renal tubular disease;

(d) Congenital anomalies of the urinary tract; and

(e) Chronic renal disease resulting from structural abnormalities of urinary tract;

(11) Ophthalmology:

(a) Severe myopia;

(b) Strabismus;

(c) Congenital cataracts;

(d) Glaucoma; and

(e) Amblyopia.

S.D. Admin. R. 44:06:06:01

6 SDR 93, effective 7/1/1980; 8 SDR 155, effective 5/27/1982; 9 SDR 162, effective 6/20/1983; 14 SDR 182, effective 7/11/1988; 20 SDR 91, effective 12/19/1993; 23 SDR 91, effective 12/9/1996; 30 SDR 198, effective 6/23/2004; 33 SDR 106, effective 12/26/2006.

General Authority: SDCL 34-1-21.

Law Implemented: SDCL 34-1-21.