South Dakota Administrative Rules
Title 44 - Department of Health
Article 44:06 - Children's special health services
Chapter 44:06:06 - Scope of benefits
Section 44:06:06:01 - Chronic medical conditions covered
Universal Citation: SD Admin Rules 44:06:06:01
Current through Register Vol. 50, page 114, March 25, 2024
Chronic medical conditions which may be covered for an eligible individual include the following:
(1) Genetics:
(a) Multiple anomaly syndromes;
(b) Genetic conditions; and
(c) Chromosomal disorders;
(2) Cardiology:
(a) Cyanotic heart disease;
(b) Acyanotic heart disease;
(c) Cardiomyopathies and
pericarditis;
(d) Rheumatic heart
disease;
(e) Arrythmias;
(f) Systemic hypertension;
(g) Kawasaki disease; and
(h) Other cardiac conditions which are
complex and chronic;
(3) Gastroenterology:
(a) Malabsorption
syndrome/disorders;
(b)
Inflammatory bowel disease/ulcerative colitis;
(c) Congenital abnormalities of
gastrointestinal tract, excluding pyloric stenosis and umbilical or
femoral/inguinal hernias;
(d)
Esophageal reflux; and
(e) Other
gastrointestinal conditions which are complex and chronic;
(4) Pulmonary:
(a) Cystic fibrosis;
(b) Asthma;
(c) Bronchopulmonary dysplasia;
(d) Pectus excovatum;
(e) Tracheo - esophageal Fistula (with or
without reflux); and
(f) Other
pulmonary conditions which are complex and chronic;
(5) Craniofacial anomalies:
(a) Cleft lip and palate; and
(b) Other congenital craniofacial anomalies
that are complex and chronic;
(6) Endocrinology:
(a) Thyroid malfunction;
(b) Delayed adolescence;
(c) Parathyroid malfunction;
(d) Sexual precocity;
(e) Pituitary tumors;
(f) Inborn errors of metabolism;
(g) Diabetes mellitus or insipidus;
and
(h) Other endocrine conditions
which are complex and chronic;
(7) Hematology/hemophilia/oncology:
(a) Chronic anemia;
(b) Neutropenias;
(c) Leukemias;
(d) Clotting disorders;
(e) Solid tumors;
(f) Hemophilia A;
(g) Hemophilia B; and
(h) Other hematology/oncology conditions
which are complex and chronic;
(8) Children's rehabilitation:
(a) Congenital hydrocephalus;
(b) Myelomeningocele;
(c) Juvenile rheumatoid arthritis;
(d) Scoliosis;
(e) Congenital dislocation of the
hip;
(f) Slipped capital femoral
epiphysis;
(g) Club foot;
and
(h) Other multiple physical
disabilities which are complex and chronic;
(9) Neurology:
(a) Congenital anomalies of the central
nervous system;
(b) Seizure
disorders;
(c) Chronic
neuromuscular disorders;
(d)
Cerebral palsy; and
(e) Other
neurological disorders which are complex and chronic;
(10) Renal:
(a) Chronic glomerulonephritis;
(b) Nephrosis;
(c) Chronic renal tubular disease;
(d) Congenital anomalies of the urinary
tract; and
(e) Chronic renal
disease resulting from structural abnormalities of urinary tract;
(11) Ophthalmology:
(a) Severe myopia;
(b) Strabismus;
(c) Congenital cataracts;
(d) Glaucoma; and
(e) Amblyopia.
General Authority: SDCL 34-1-21.
Law Implemented: SDCL 34-1-21.
Disclaimer: These regulations may not be the most recent version. South Dakota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.