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

Universal Citation: SD Admin Rules 44:06:06:07

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:

(a) Artificial eyes;

(b) Catheters except for renal disorders;

(c) Contact lenses except upon individual case review for congenital cataracts;

(d) Crutches;

(e) Over-the-counter drugs and medications, except upon individual case review;

(f) Glasses;

(g) Hearing aids, except upon individual review;

(h) Immunizations;

(i) Kidney dialysis machines;

(j) Prosthesis, except upon individual review;

(k) Shoes;

(l) Special beds;

(m) Speech appliances except for obturators;

(n) Walkers;

(o) Wheelchairs; and

(p) Dietary supplements, except upon individual case review;

(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.

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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