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/67:16:11

67:16:11Early And Periodic

Chapter · Administrative Rules of South Dakota · View on sdlegislature.gov ↗

Rulemaking activity

Article 67:15 (LIEAP), Article 67:16 (MS - Transportation) Article 67:18 (Child Support Enforcement), Article 67:42 (Family Foster Homes), Article 67:46 (Economic Assistance)Effective

Sections (70)

67:16:11:01Definitions.
67:16:11:01.01Contractor to provide certain services.
67:16:11:02Eligibility requirements.
67:16:11:03Covered services -- Limits.
67:16:11:03.01Psychological services.
67:16:11:03.02Liver transplants.
67:16:11:03.03Psychiatric hospital services -- In-state
67:16:11:03.04Transferred to § 67:54:08:04.
67:16:11:03.05Nutritional therapy and nutritional supplements.
67:16:11:03.06Orthodontic treatment.
67:16:11:03.07Orthodontic treatment -- Treatment totals $500
67:16:11:03.08Orthodontic treatment -- Treatment exceeds $500
67:16:11:03.09Orthodontic treatment -- Treatment exceeds $500
67:16:11:03.10Home-based therapy services -- Prerequisites for
67:16:11:03.11Home-based therapy services -- Mental disorders.
67:16:11:03.12Home-based therapy services -- Diagnostic
67:16:11:03.13Home-based therapy services -- Seriously
67:16:11:03.14Home-based therapy services -- Individual at
67:16:11:03.15Home-based therapy services -- Treatment plan --
67:16:11:03.16Home-based therapy services -- Service
67:16:11:03.17Transferred to § 67:54:08:06.
67:16:11:03.18Medical equipment.
67:16:11:03.19Home health services.
67:16:11:03.20Private duty nursing
67:16:11:03.21Extended home health aide services.
67:16:11:03.22Private duty nursing services -- Extended
67:16:11:03.23Psychiatric hospital services -- Out-of-state --
67:16:11:04Screening
67:16:11:04.01Periodicity
67:16:11:05Rate of payment -- Screening services.
67:16:11:05.01Rate
67:16:11:06Rate of payment -- Vision services.
67:16:11:06.01Rate of payment -- Dental services.
67:16:11:06.02Rate of payment -- Hearing tests and exams.
67:16:11:06.03Rate of payment -- Orthopedic shoes.
67:16:11:06.04Rate of payment -- Psychological services.
67:16:11:06.05Rate of payment -- Liver transplants.
67:16:11:06.06Rate of payment -- Inpatient psychiatric
67:16:11:06.07Transferred to § 67:54:08:10.
67:16:11:06.08Rate of payment -- Nutritional therapy,
67:16:11:06.09Rate
67:16:11:06.10Rate of payment -- Drugs.
67:16:11:06.11Rate of payment -- Medical equipment.
67:16:11:06.12Rate of payment -- Other physician services.
67:16:11:06.13Rate of payment -- Home-based therapy services.
67:16:11:06.14Rate of payment -- Home health services.
67:16:11:06.15Rate
67:16:11:06.16Rate
67:16:11:07Dental services covered under EPSDT.
67:16:11:08Services not covered under EPSDT.
67:16:11:08.01Cost not to exceed long-term institutional care.
67:16:11:08.02Uncompleted orthodontic treatment subject to
67:16:11:09Prior authorization for dental services under
67:16:11:10Claims for dental services and materials --
67:16:11:11Utilization review.
67:16:11:12Cost sharing.
67:16:11:13Billing requirements.
67:16:11:13.01Billing requirements -- Home-based therapy
67:16:11:13.02Billing requirements -- Orthodontic
67:16:11:14Claim requirements.
67:16:11:15Transferred to § 67:54:08:11.
67:16:11:16Transferred to § 67:16:42:13.
67:16:11:17Claim requirements -- Orthodontia services.
67:16:11:18Claim requirements -- Dental services.
67:16:11:19Claim requirements -- Psychological services.
67:16:11:19.01Claim requirements -- Home-based therapy
67:16:11:19.02Claim requirements -- Private duty nursing -- Extended home health aide services.
67:16:11:19.03Claim requirements -- Screenings.
67:16:11:19.04Claim requirements -- Immunizations.
67:16:11:20Application of other chapters.