67:16:11:14Claim requirements.

Section · 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

A claim for services covered under this chapter must be submitted according to the following requirements: (1) For orthodontic services, follow the claim requirements of § 67:16:11:17; (2) For private duty nursing, include the applicable procedure codes for the covered services provided and follow the claim requirements of § 67:16:11:19.02; (3) For extended home health aide services, include the applicable procedure codes for the covered services provided and follow the claim requirements of § 67:16:11:19.02; (4) For complete, comprehensive screenings and partial screenings, follow the requirements in § 67:16:02:17; (5) For nutrition services follow the requirements of § 67:16:42:13; and (6) For immunizations, follow the requirements of § 67:16:11:19.04.

Source: 17 SDR 37, effective September 11, 1990; 18 SDR 209, effective June 23, 1992; 19 SDR 82, effective December 7, 1992; 22 SDR 32, effective September 11, 1995; 35 SDR 88, effective October 23, 2008.

General Authority

SDCL 28-6-1 ↗
Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes o
Amended by HB1229 (2019) — require optional services through Medicaid to be authorized through special appr
Amended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions

Law Implemented

SDCL 2008-10 ↗
SDCL 28-6-1 ↗
Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes o
Amended by HB1229 (2019) — require optional services through Medicaid to be authorized through special appr
Amended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions

← 67:16:11:13.02 67:16:11:15 →