South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:04 - Nursing facility rate setting
Section 67:16:04:41 - Routine services
Current through Register Vol. 51, page 43, September 23, 2024
For purposes of cost reporting, the department considers the following items and services to be routine:
(1) Shelter;
(2) At least three meals a day planned from the basic four food groups in quantity and variety to provide medically prescribed diets, including special oral, enteral, or parenteral dietary supplements used for meal or nourishment supplementation, even if written as a prescription item by a physician or other licensed practitioner;
(3) Expendable items used in the care and treatment of residents such as alcohol, applicators, cotton balls, band-aids, linen savers, colostomy supplies, catheters, catheter supplies, irrigation equipment, needles, syringes, IV equipment, support hose, hydrogen peroxide, enemas, tongue depressors, facial tissue, and over-the-counter medications;
(4) Screening tests such as Clinitest, Testape, and Ketostix;
(5) Personal hygiene items such as soap, lotion, powder, shampoo, deodorant, toothbrushes, toothpaste, denture cups and cleaner, mouthwash, and pericare products;
(6) Social services, activities, and the supplies necessary for each;
(7) Laundry services;
(8) Therapy services if provided by a facility employee or by a consultant who is under contract with the facility;
(9) Transportation services necessary to meet the medical and activity needs of the residents exclusive of ambulance services and secure medical transportation services. Reimbursement is limited to transportation to the nearest medical provider able to provide the service;
(10) Items which are used by individual residents but which are reusable and expected to be available, such as resident gowns, water pitchers, bedpans, ice bags, bed rails, canes, crutches, walkers, wheelchairs, traction equipment, alternating pressure pad and pump, and other medical equipment;
(11) General nursing services, including restorative nursing activities, toileting programs, administration of oxygen and medications, hand or tube feeding, care of incontinence, enemas, tray service, and personal hygiene including bathing, skin care, hair care, shaving, and oral hygiene;
(12) Oxygen and oxygen regulators, concentrators, tubing, masks, tents, and other equipment necessary for the administration of oxygen; and
(13) Respiratory services and supplies.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1(1)(2).