South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:05 - Home health services
Section 67:16:05:06 - Services not covered
Current through Register Vol. 51, page 43, September 23, 2024
In addition to the other services not specifically listed in § 67:16:05:05, the following services are not covered under this chapter:
(1) Physician or other licensed practitioner's medical or surgical services;
(2) Drugs and biologicals;
(3) Personal comfort items;
(4) General housekeeping services;
(5) Meals or other nutritional items delivered to the individual's home;
(6) Posthospital benefits which include services by a home health agency operating primarily for the treatment of mental illness;
(7) Visits by a dietician;
(8) Visits solely for the purpose of teaching the individual or the individual's caregiver;
(9) Services that are not medically necessary;
(10) Custodial care; and
(11) Mileage.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1(1)(2).
Covered services -- Limits, § 67:16:05:05.
Covered services must be medically necessary, § 67:16:01:06.02.
