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 44:06:06:07 - Services and conditions not covered
Current through Register Vol. 50, page 114, March 25, 2024
Services and conditions not covered under the CSHS program include the following:
(1) Doctor visits for routine care unless recommended by the specialist in charge;
(2) Routine dental care, except for that requested by an orthodontist for a child with a cleft palate;
(3) Surgical procedures with any associated hospitalizations except upon individual case review;
(4) Cosmetic surgery except upon individual case review for cleft lip or palate or both;
(5) Acute accidents or illnesses;
(6) Vocational rehabilitation;
(7) Special education;
(8) Appliance repairs;
(9) Room and board;
(10) Ambulance charges;
(11) Supplies and appliances as follows:
(12) Infectious diseases;
(13) Organ transplants;
(14) Fractures or other acute trauma;
(15) Kidney dialysis;
(16) Undescended testicles;
(17) Intestinal obstruction;
(18) Imperforate anus;
(19) Experimental procedures; and
(20) Psychological evaluations.
General Authority: SDCL 34-1-21.
Law Implemented: SDCL 34-1-21.