S.D. Admin. R. 67:16:39:11

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

Section 67:16:39:11 - Exempt services

The following medically necessary covered services are exempt from the provisions of this chapter:

(1) Family planning services;

(2) Emergency services as defined in chapter 67:16:01;

(3) Dental services listed in chapter 67:16:06;

(4) Podiatric services listed in chapter 67:16:07;

(5) Optometric and optical services listed in chapter 67:16:08;

(6) Chiropractic services listed in chapter 67:16:09;

(7) Immunization, home-based therapy, dental, orthodontic, and chemical dependency treatment services listed in chapter 67:16:11;

(8) Mental health services for individuals who are diagnosed with a serious emotional disturbance as defined in § 67:62:11:01 or serious mental illness as defined in § 67:62:12:01;

(9) Prescription drug services listed in chapter 67:16:14;

(10) Personal care services listed in chapter 67:16:24;

(11) Transportation services listed in chapter 67:16:25; and

(12) Four urgent care visits per year, per recipient.

S.D. Admin. R. 67:16:39:11

20 SDR 135, effective 2/22/1994; 30 SDR 115, effective 2/4/2004; 35 SDR 253, effective 5/12/2009; 43 SDR 80, effective 12/5/2016; 46 SDR 050, effective 10/10/2019

General Authority: SDCL 28-6-1(1)(2)(4).

Law Implemented: SDCL 28-6-1(1)(2)(4).