S.D. Admin. R. 67:16:05:06

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

Section 67:16:05:06 - Services not covered

In addition to the other services not specifically listed in § 67:16:05:05, the following services are not covered under this chapter:

(1) Physician or other licensed practitioner's medical or surgical services;

(2) Drugs and biologicals;

(3) Personal comfort items;

(4) General housekeeping services;

(5) Meals or other nutritional items delivered to the individual's home;

(6) Posthospital benefits which include services by a home health agency operating primarily for the treatment of mental illness;

(7) Visits by a dietician;

(8) Visits solely for the purpose of teaching the individual or the individual's caregiver;

(9) Services that are not medically necessary;

(10) Custodial care; and

(11) Mileage.

S.D. Admin. R. 67:16:05:06

SL 1975, ch 16; 44 SDR 94, effective 12/4/2017

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1(1)(2).

Covered services -- Limits, § 67:16:05:05. Covered services must be medically necessary, § 67:16:01:06.02.