67:54:06:13Payment, procedure codes, and limits for
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
covered services. Payment for assistive daily living services is limited to the following procedure codes: PROCEDURE CODE PROCEDURE T1019 Services of a personal attendant T1016 Case management S5115 Consumer preparation S5160 Emergency response device T1000 Private duty nursing A provider may bill for no more than three units of services of a personal attendant if the actual service time is less than 45 minutes and the personal attendant did not provide services for another consumer immediately preceding or subsequent to the services provided to the consumer on whose behalf the services are being billed. The Department of Human Services shall establish the rate of payment in the provider agency's contract.
Source: 21 SDR 230, effective July 13, 1995; 26 SDR 99, effective January 30, 2000; 30 SDR 135, effective March 16, 2004.
General Authority
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions
Law Implemented
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions