Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
services covered. Physician's services covered are limited to the following professional services, which must be medically necessary and provided by a physician or other licensed practitioner to a recipient: (1) Medical and surgical services; (2) Services and supplies furnished incidental to the professional services of a physician or other licensed practitioner; (3) Psychiatric services; (4) Drugs and biologicals administered in a physician or other licensed practitioner's office which cannot be self-administered; (5) Routine physical examinations; (6) Routine visits to a nursing facility, a home and community-based service provider, an intermediate care facility for individuals with intellectual disabilities, or a home and community-based waiver service provider; (7) Cosmetic surgery when incidental to prompt repair following an accidental injury or for the improvement of the functioning of a malformed body member; (8) Family planning services; (9) Pap smears; (10) Dialysis treatments; (11) Hysterectomies as authorized under 42 C.F.R. §§ 441.250 to 441.259, inclusive, as amended to April 1, 2017; and (12) Hyperbaric oxygen therapy if the requirements listed on the department's prior authorization website are met.
Source: SL 1975, ch 16, § 1; 4 SDR 88, effective June 26, 1978; 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; 15 SDR 204, effective July 6, 1989; 16 SDR 234, effective July 2, 1990; 17 SDR 200, effective July 1, 1991; 19 SDR 26, effective August 23, 1992; 20 SDR 144, effective March 10, 1994; 40 SDR 122, effective January 8, 2014; 42 SDR 51, effective October 13, 2015; 44 SDR 94, effective December 4, 2017.