S.D. Admin. R. 67:16:11:14

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

Section 67:16:11:14 - Claim requirements

A claim for services covered under this chapter must be submitted according to the following requirements:

(1) For orthodontic services, follow the claim requirements of § 67:16:11:17;

(2) For private duty nursing, include the applicable procedure codes for the covered services provided and follow the claim requirements of § 67:16:11:19.02;

(3) For extended home health aide services, include the applicable procedure codes for the covered services provided and follow the claim requirements of § 67:16:11:19.02;

(4) For complete, comprehensive screenings and partial screenings, follow the requirements in § 67:16:02:17;

(5) For nutrition services follow the requirements of § 67:16:42:13; and

(6) For immunizations, follow the requirements of § 67:16:11:19.04.

S.D. Admin. R. 67:16:11:14

17 SDR 37, effective 9/11/1990; 18 SDR 209, effective 6/23/1992; 19 SDR 82, effective 12/7/1992; 22 SDR 32, effective 9/11/1995; 35 SDR 88, effective 10/23/2008.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.