S.D. Admin. R. 67:16:48:03

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

Section 67:16:48:03 - Services not covered

The following services are not covered under the provisions of this chapter:

(1) Treatment for a diagnosis of substance use disorder that exceeds the limits established by the division, unless prior authorization is approved by the division;

(2) Out-of-state substance use disorder treatment unless the division determines that appropriate in-state treatment is not available;

(3) Treatment for a gambling disorder;

(4) Room and board for residential services;

(5) Substance use disorder treatment before the integrated assessment is completed;

(6) Substance use disorder treatment after 30 days if the treatment plan has not been completed;

(7) Substance use disorder treatment if a required review has not been completed;

(8) Court appearances, staffing sessions, or treatment team appearances; and

(9) Substance use disorder services provided to a recipient incarcerated in a correctional facility.

S.D. Admin. R. 67:16:48:03

43 SDR 80, effective 12/5/2016; 44 SDR 192, effective 7/2/2018

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

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