Browse as ListSearch Within- Section 67:16:11:01 - Definitions
- Section 67:16:11:01.01 - Contractor to provide certain services. Repealed
- Section 67:16:11:02 - Eligibility requirements
- Section 67:16:11:03 - Covered services - Limits
- Section 67:16:11:03.01 - Psychological services. Repealed
- Section 67:16:11:03.02 - Liver transplants. Repealed
- Section 67:16:11:03.03 - Psychiatric hospital services - In-state - Limits. Repealed
- Section 67:16:11:03.04 - Transferred
- Section 67:16:11:03.05 - Nutritional therapy and nutritional supplements
- Section 67:16:11:03.06 - Orthodontic treatment
- Section 67:16:11:03.07 - Orthodontic treatment - Treatment totals $500 or less. Repealed
- Section 67:16:11:03.08 - Orthodontic treatment - Treatment exceeds $500 - Individual eligible after treatment started - Medical assistance program not original provider - Change in provider. Repealed
- Section 67:16:11:03.09 - Orthodontic treatment - Treatment exceeds $500 - Individual eligible before treatment started. Repealed
- Section 67:16:11:03.10 - Home-based therapy services - Prerequisites for services. Repealed
- Section 67:16:11:03.11 - Home-based therapy services - Mental disorders. Repealed
- Section 67:16:11:03.12 - Home-based therapy services - Diagnostic assessment requirements. Repealed
- Section 67:16:11:03.13 - Home-based therapy services - Seriously emotionally disturbed - Mandatory reviews. Repealed
- Section 67:16:11:03.14 - Home-based therapy services - Individual at risk - Mandatory reviews. Repealed
- Section 67:16:11:03.15 - Home-based therapy services - Treatment plan - Mandatory reviews. Repealed
- Section 67:16:11:03.16 - Home-based therapy services - Service requirements. Repealed
- Section 67:16:11:03.17 - Transferred
- Section 67:16:11:03.18 - Medical equipment. Repealed
- Section 67:16:11:03.19 - Home health services. Repealed
- Section 67:16:11:03.20 - Private duty nursing services
- Section 67:16:11:03.21 - Extended home health aide services
- Section 67:16:11:03.22 - Private duty nursing services - Extended home health aide services - Prior authorization - Reauthorization
- Section 67:16:11:03.23 - Psychiatric hospital services - Out-of-state - Limits. Repealed
- Section 67:16:11:04 - Screening services under EPSDT
- Section 67:16:11:04.01 - Periodicity schedules for complete, comprehensive screenings
- Section 67:16:11:05 - Rate of payment - Screening services
- Section 67:16:11:05.01 - Rate of payment - Immunizations
- Section 67:16:11:06 - Rate of payment - Vision services. Repealed
- Section 67:16:11:06.01 - Rate of payment - Dental services. Repealed
- Section 67:16:11:06.02 - Rate of payment - Hearing tests and exams. Repealed
- Section 67:16:11:06.03 - Rate of payment - Orthopedic shoes. Repealed
- Section 67:16:11:06.04 - Rate of payment - Psychological services. Repealed
- Section 67:16:11:06.05 - Rate of payment - Liver transplants. Repealed
- Section 67:16:11:06.06 - Rate of payment - Inpatient psychiatric hospital services. Repealed
- Section 67:16:11:06.07 - Transferred
- Section 67:16:11:06.08 - Rate of payment - Nutritional therapy, nutritional supplements, and electrolyte replacements
- Section 67:16:11:06.09 - Rate of payment - Orthodontic treatment
- Section 67:16:11:06.10 - Rate of payment - Drugs. Repealed
- Section 67:16:11:06.11 - Rate of payment - Medical equipment. Repealed
- Section 67:16:11:06.12 - Rate of payment - Other physician services. Repealed
- Section 67:16:11:06.13 - Rate of payment - Home-based therapy services. Repealed
- Section 67:16:11:06.14 - Rate of payment - Home health services. Repealed
- Section 67:16:11:06.15 - Rate of payment - Private duty nursing services
- Section 67:16:11:06.16 - Rate of payment - Extended home health aide services
- Section 67:16:11:07 - Dental services covered under EPSDT. Repealed
- Section 67:16:11:08 - Services not covered under EPSDT. Repealed
- Section 67:16:11:08.01 - Cost not to exceed long-term institutional care
- Section 67:16:11:08.02 - Uncompleted orthodontic treatment subject to refund provisions. Repealed
- Section 67:16:11:09 - Prior authorization for dental services under EPSDT. Repealed
- Section 67:16:11:10 - Claims for dental services and materials - Payment limits. Repealed
- Section 67:16:11:11 - Utilization review
- Section 67:16:11:12 - Cost sharing. Repealed
- Section 67:16:11:13 - Billing requirements
- Section 67:16:11:13.01 - Billing requirements - Home-based therapy services. Repealed
- Section 67:16:11:13.02 - Billing requirements - Orthodontic treatment. Repealed
- Section 67:16:11:14 - Claim requirements
- Section 67:16:11:15 - Transferred
- Section 67:16:11:16 - Transferred
- Section 67:16:11:17 - Claim requirements - Orthodontia services
- Section 67:16:11:18 - Claim requirements - Dental services. Repealed
- Section 67:16:11:19 - Claim requirements - Psychological services. Repealed
- Section 67:16:11:19.01 - Claim requirements - Home-based therapy services. Repealed
- Section 67:16:11:19.02 - Claim requirements - Private duty nursing - Extended home health aide services
- Section 67:16:11:19.03 - Claim requirements - Screenings
- Section 67:16:11:19.04 - Claim requirements - Immunizations
- Section 67:16:11:20 - Application of other chapters
- Appendix A - List of Dental Procedure Codes and Limits, repealed, 35 SDR 88, effective October 23, 2008
- Appendix B - List of Medical Procedures and Limits of Dental/Medical Services, repealed, 35 SDR 88, effective October 23, 2008
- Appendix C - List of Procedure Codes and Prices for Orthodontic Services, repealed, 35 SDR 88, effective October 23, 2008
- Appendix D - Transferred
- Appendix E - [Repealed]
- Appendix F - Orthodontic Assessment Record, repealed, 35 SDR 88, effective October 23, 2008