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67:54:09:18Billing requirements.

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

A claim submitted for payment under this chapter must contain the following procedure codes, as applicable. PROCEDURE CODE DESCRIPTION T1020 Companion care S5165 Home modifications B4222 Nutritional supplements T1005 Respite care T1016 Service coordination T1019 Personal care T2018 Supported employment A9900 Specialized medical adaptive equipment and supplies T2039 Vehicle modifications G0154 G0176 Personal Care 2 Specialized Therapies

Source: 34 SDR 271, effective May 7, 2008; SL 2013, ch 128, § 37, effective July 1, 2013; 50 SDR 63, effective November 27, 2023; 52 SDR 126, effective July 1, 2026.

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 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