S.D. Admin. R. 67:16:04:42

Current through Register Vol. 51, page 67, December 16, 2024

Section 67:16:04:42 - Nonroutine services

A facility may not include the cost of nonroutine services as an allowable cost on the cost report required in § 67:16:04:34. The provider of the nonroutine service must bill the department directly. Nonroutine services include the following types of services:

(1) Prescription drugs;

(2) Physician services for direct resident care;

(3) Laboratory and radiology services;

(4) Mental health services;

(5) Therapy services when provided by someone other than a facility employee or a licensed therapist who has a contract with the facility to provide the therapy;

(6) Prosthetic devices and prosthetic supplies provided for an individual resident which are prescribed by a doctor and cannot be altered for use by other residents; and

(7) Any other professional medical service or supply which may be billed directly to Medicare or Medicaid by the provider of the service.

S.D. Admin. R. 67:16:04:42

15 SDR 68, effective 11/7/1988; 16 SDR 26, effective 8/13/1989; transferred from

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.