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 67:16:04:42 - Nonroutine services
Current through Register Vol. 51, page 43, September 23, 2024
A facility may not include the cost of nonroutine services as an allowable cost on the cost report required in § 67:16:04:34. The provider of the nonroutine service must bill the department directly. Nonroutine services include the following types of services:
(1) Prescription drugs;
(2) Physician services for direct resident care;
(3) Laboratory and radiology services;
(4) Mental health services;
(5) Therapy services when provided by someone other than a facility employee or a licensed therapist who has a contract with the facility to provide the therapy;
(6) Prosthetic devices and prosthetic supplies provided for an individual resident which are prescribed by a doctor and cannot be altered for use by other residents; and
(7) Any other professional medical service or supply which may be billed directly to Medicare or Medicaid by the provider of the service.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
