S.D. Admin. R. 67:16:08:05

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

Section 67:16:08:05 - Services not covered

The department does not cover the following items or services and, if provided, reimbursement must be obtained from the recipient:

(1) Extended wear or daily disposable contact lenses;

(2) Regular eyeglasses or contact lenses when used to supplement another pair of corrective vision lenses;

(3) Athletic glasses;

(4) Tinting, additional charges for photochromic lenses, lens decoration, or special lens coating;

(5) Frames if a lens change is not medically necessary;

(6) LASIK surgery; and

(7) Consultation services.

The provisions of this rule are not applicable to the items or services provided for children under the age of 21 if documented as medically necessary.

S.D. Admin. R. 67:16:08:05

1 SDR 30, effective 10/13/1974; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 11 SDR 86, effective 12/30/1984; 16 SDR 64, effective 10/8/1989; 16 SDR 235, effective 7/5/1990; 17 SDR 200, effective 7/1/1991; 20 SDR 159, effective 4/6/1994; 22 SDR 94, effective 1/10/1996; portions of this rule were transferred to

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.