67:16:04:42Nonroutine services.

A facility may not include the cost of nonroutine services as an allowable cost on the cost report required in § 67:16:04:34. The provider of the nonroutine service must bill the department directly. Nonroutine services include the following types of services: (1) Prescription drugs; (2) Physician services for direct resident care; (3) Laboratory and radiology services; (4) Mental health services; (5) Therapy services when provided by someone other than a facility employee or a licensed therapist who has a contract with the facility to provide the therapy; (6) Prosthetic devices and prosthetic supplies provided for an individual resident which are prescribed by a doctor and cannot be altered for use by other residents; and (7) Any other professional medical service or supply which may be billed directly to Medicare or Medicaid by the provider of the service.

Source: 15 SDR 68, effective November 7, 1988; 16 SDR 26, effective August 13, 1989; transferred from § 67:16:04:06.01, 21 SDR 8, effective July 25, 1994.