South Dakota's Medical Assistance program is updating its coverage rules and provider definitions to clarify existing policies and align with recent licensing changes. The changes add reconstructive surgery coverage after medically necessary mastectomies, allow Medicaid to reimburse for an accompanying adult when medically necessary during medical transportation, and add a new definition for licensed marriage and family therapists working toward a mental health designation so they can enroll as Medicaid mental health providers—matching recent changes made by the Board of Addiction and Prevention Professionals. The updates also reorganize some payment rules and clean up outdated references without changing the substance of existing coverage policies.
AI-generated from the proposed rule text — verify against the official documents.
The rule changes seek to clarify current coverage and program requirements and add a definition of licensed marriage and family therapist working toward a mental health designation to align with recent changes with the Board of Addiction and Prevention Professionals.
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