46:30:08:03Covered

services. The fund created by § 49-31-50 may only be used for the following devices and services: (1) Cost of implant surgery for one or both ears; (2) Cost of two implant devices; (3) Surgeon's usual and customary fee; (4) Hospital's usual and customary fee; (5) Anesthesiologist's usual and customary fee; (6) Cost of initial mapping; and (7) Cost of follow-up mappings completed within one year after surgery or up to a maximum of 12.

Source: 32 SDR 32, effective August 29, 2005; 34 SDR 179, effective December 24, 2007.