South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:02 - Physician and other health services
- Section 67:16:02:01 - Definitions
- Section 67:16:02:01.01 - Fee schedules for physician services
- Section 67:16:02:02 - Provider agreement. Repealed
- Section 67:16:02:03 - Rate of payment
- Section 67:16:02:03.01 - Reimbursement for multiple surgeries
- Section 67:16:02:03.02 - Reimbursement for services containing modifier codes
- Section 67:16:02:03.03 - Required modifier codes
- Section 67:16:02:04 - Physician's services covered
- Section 67:16:02:05 - Other health services covered
- Section 67:16:02:05.01 - Physical therapy services covered
- Section 67:16:02:05.02 - Breast reductions covered - Prior authorization required. Repealed
- Section 67:16:02:05.03 - Clozaril therapy - Limits.Repealed
- Section 67:16:02:05.04 - Documentation required before authorization given. Repealed
- Section 67:16:02:05.05 - Requirements for monitoring clozaril therapy.Repealed
- Section 67:16:02:05.06 - Requirements when clozaril therapy discontinued or suspended.Repealed
- Section 67:16:02:05.07 - Requirements for augmentative communication device. Repealed
- Section 67:16:02:05.08
- Section 67:16:02:05.09
- Section 67:16:02:05.10
- Section 67:16:02:05.11 - Noninvasive bone-growth stimulation. Repealed
- Section 67:16:02:05.12 - Cochlear implant - Prior authorization required. Repealed
- Section 67:16:02:05.13
- Section 67:16:02:05.14
- Section 67:16:02:05.15 - Occupational therapy
- Section 67:16:02:06 - Health services not covered
- Section 67:16:02:07 - Utilization review for physician, laboratory, and X-ray services
- Section 67:16:02:08 - Utilization review for transportation services. Repealed
- Section 67:16:02:09 - Sterilization
- Section 67:16:02:10 - Refractions and eyeglasses
- Section 67:16:02:11
- Section 67:16:02:12 - Transferred
- Section 67:16:02:13 - Audiological and speech pathology services
- Section 67:16:02:14 - Reimbursement for services provided by nurse midwife or nurse anesthetist
- Section 67:16:02:15 - Reimbursement for services provided by nurse practitioner, clinical nurse specialist, or physician assistant
- Section 67:16:02:16 - Billing requirements - Modifier codes - Provider identification numbers
- Section 67:16:02:16.01 - Billing requirements - Implantable contraceptive capsules and obstetrical services
- Section 67:16:02:17 - Claim requirements
- Section 67:16:02:18
- Section 67:16:02:19 - Application of other chapters
- Appendix A - List of Physician Nonlaboratory Procedures, repealed, 34 SDR 68, effective September 12, 2007
- Appendix B - List of Physician Laboratory Procedures, repealed, 34 SDR 68, effective September 12, 2007
- Appendix C - Physician Medical Procedures - Medicare Maximum Allowance; repealed, 34 SDR 68, effective September 12, 2007
- Appendix D - List of Modifier Codes for Physician Services, transferred to Section 67:16:02:03.03, effective September 12, 2007
- Appendix E - Clozaril Enrollment Information Form, repealed, 31 SDR 214, effective July 6, 2005
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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