S.D. Admin. R. 67:16:11:03.21

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

Section 67:16:11:03.21 - Extended home health aide services

Extended home health aide services are covered when the following requirements are met:

(1) The services are medically necessary;

(2) The services are provided to an individual requiring more than three consecutive hours of patient care when a condition or illness would result in institutionalization if not cared for at home;

(3) The services are provided by a home health agency as defined in § 67:16:05:01;

(4) The services are supervised according to § 67:16:05:05.03; and

(5) The services are authorized by the department before they are provided.

The individual's record must contain written documentation verifying that these requirements have been met.

S.D. Admin. R. 67:16:11:03.21

18 SDR 209, effective 6/23/1992.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

Private duty nursing services -- Extended home health aide services -- Prior authorization -- Reauthorization, § 67:16:11:03.22; Covered services must be medically necessary, § 67:16:01:06.02.