S.D. Admin. R. 67:16:37:04

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

Section 67:16:37:04 - Service restrictions

A service provided under this chapter must meet the following conditions:

(1) The service must be medically necessary. Evidence establishing the medical necessity must be maintained in the individual's record;

(2) The service must be outlined in the individual's care plan;

(3) The service must be within the professional's scope of practice;

(4) The service must be a direct, face-to-face, contact-care service with the individual;

(5) The service may only be provided to individuals under age 21; and

(6) The service must be provided by the school district in which the individual resides.

S.D. Admin. R. 67:16:37:04

18 SDR 78, effective 11/4/1991.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

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