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.
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