S.D. Admin. R. 67:16:40:08

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

Section 67:16:40:08 - Admission requirements - Neonatal intensive care

Neonatal intensive care services are considered covered services if a neonatologist orders the admission, there is a comprehensive history and physical that addresses the need for the admission, the condition requires continuous cardiopulmonary monitoring, the condition requires monitoring of complete vital signs at a minimum of once every four hours, and the infant has at least one of the following conditions:

(1) Abnormal vital signs, hematology, or chemistry to cause endangerment;

(2) Congenital abnormalities causing functional impairment;

(3) Pulmonary distress;

(4) Metabolic distress;

(5) Cardiac distress;

(6) Neurological distress;

(7) Gastrointestinal abnormalities;

(8) Sepsis;

(9) Prematurity of significant intrauterine growth retardation; or

(10) Any condition which requires surgery within 48 hours after birth.

S.D. Admin. R. 67:16:40:08

21 SDR 123, effective 1/19/1995; 31 SDR 39, effective 9/29/2004; 42 SDR 51, effective 10/13/2015

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.