S.D. Admin. R. 67:16:02:05

Current through Register Vol. 51, page 57, November 12, 2024

Section 67:16:02:05 - Other health services covered

The other medically necessary health services and supplies covered under the program are limited to the following:

(1) X rays for diagnostic and treatment purposes;

(2) Laboratory tests for diagnostic and treatment purposes;

(3) Prosthetic devices, except dental, including braces, artificial limbs, artificial eyes, augmentative communication devices, items to replace all or part of an internal body organ, and the replacement of such devices required by a change in the patient's condition. An augmentative communication device is covered under the provisions of chapter 67:16:29;

(4) X-ray, radium, and radioactive isotope therapy, including materials and services of technicians;

(5) Surgical dressings following surgery;

(6) Splints, casts, and similar devices;

(7) Supplies necessary for the use of prosthetic devices or medical equipment payable under the provisions of chapter 67:16:29; and

(8) Hearing aids, subject to the limits and payment provisions established in chapter 67:16:29.

S.D. Admin. R. 67:16:02:05

SL 1975, ch 16, § 1; 4 SDR 10, effective 8/28/1977; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 9 SDR 164, effective 6/30/1983; 14 SDR 46, effective 9/28/1987; 17 SDR 200, effective 7/1/1991; 19 SDR 26, effective 8/23/1992; 34 SDR 68, effective 9/12/2007.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

Medical equipment payable, § 67:16:29:02. Covered services must be medically necessary, § 67:16:01:06.02.