S.D. Admin. R. 67:16:48:05

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

Section 67:16:48:05 - Prior authorization requirements

The requirements for prior authorization of a medically monitored intensive inpatient program, clinically-managed low-intensity residential treatment program for pregnant women or women with dependent children, and intensive methamphetamine services are as follows:

(1) An addiction counselor completes an integrated assessment, the assessment indicates a diagnosis of a substance use disorder, and the addiction counselor determines the recipient meets the criteria for placement in, transfer to, or continued stay in a substance use disorder treatment program;

(2) A physician or other licensed practitioner refers the recipient for placement in, transfer to, or continued stay in a substance use disorder treatment program and provides the division with written verification of pregnancy, if applicable; and

(3) The division authorizes the treatment.

S.D. Admin. R. 67:16:48:05

43 SDR 80, effective 12/5/2016; 44 SDR 94, effective 12/4/2017; 44 SDR 192, effective 7/2/2018

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

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