South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:11 - Early and periodic screening
- Section 67:16:11:01 - Definitions
- Section 67:16:11:01.01 - Contractor to provide certain services. Repealed
- Section 67:16:11:02 - Eligibility requirements
- Section 67:16:11:03 - Covered services - Limits
- Section 67:16:11:03.01 - Psychological services. Repealed
- Section 67:16:11:03.02 - Liver transplants. Repealed
- Section 67:16:11:03.03 - Psychiatric hospital services - In-state - Limits. Repealed
- Section 67:16:11:03.04 - Transferred
- Section 67:16:11:03.05 - Nutritional therapy and nutritional supplements
- Section 67:16:11:03.06 - Orthodontic treatment
- Section 67:16:11:03.07 - Orthodontic treatment - Treatment totals $500 or less. Repealed
- Section 67:16:11:03.08 - Orthodontic treatment - Treatment exceeds $500 - Individual eligible after treatment started - Medical assistance program not original provider - Change in provider. Repealed
- Section 67:16:11:03.09 - Orthodontic treatment - Treatment exceeds $500 - Individual eligible before treatment started. Repealed
- Section 67:16:11:03.10 - Home-based therapy services - Prerequisites for services. Repealed
- Section 67:16:11:03.11 - Home-based therapy services - Mental disorders. Repealed
- Section 67:16:11:03.12 - Home-based therapy services - Diagnostic assessment requirements. Repealed
- Section 67:16:11:03.13 - Home-based therapy services - Seriously emotionally disturbed - Mandatory reviews. Repealed
- Section 67:16:11:03.14 - Home-based therapy services - Individual at risk - Mandatory reviews. Repealed
- Section 67:16:11:03.15 - Home-based therapy services - Treatment plan - Mandatory reviews. Repealed
- Section 67:16:11:03.16 - Home-based therapy services - Service requirements. Repealed
- Section 67:16:11:03.17 - Transferred
- Section 67:16:11:03.18 - Medical equipment. Repealed
- Section 67:16:11:03.19 - Home health services. Repealed
- Section 67:16:11:03.20 - Private duty nursing services
- Section 67:16:11:03.21 - Extended home health aide services
- Section 67:16:11:03.22 - Private duty nursing services - Extended home health aide services - Prior authorization - Reauthorization
- Section 67:16:11:03.23 - Psychiatric hospital services - Out-of-state - Limits. Repealed
- Section 67:16:11:04 - Screening services under EPSDT
- Section 67:16:11:04.01 - Periodicity schedules for complete, comprehensive screenings
- Section 67:16:11:05 - Rate of payment - Screening services
- Section 67:16:11:05.01 - Rate of payment - Immunizations
- Section 67:16:11:06 - Rate of payment - Vision services. Repealed
- Section 67:16:11:06.01 - Rate of payment - Dental services. Repealed
- Section 67:16:11:06.02 - Rate of payment - Hearing tests and exams. Repealed
- Section 67:16:11:06.03 - Rate of payment - Orthopedic shoes. Repealed
- Section 67:16:11:06.04 - Rate of payment - Psychological services. Repealed
- Section 67:16:11:06.05 - Rate of payment - Liver transplants. Repealed
- Section 67:16:11:06.06 - Rate of payment - Inpatient psychiatric hospital services. Repealed
- Section 67:16:11:06.07 - Transferred
- Section 67:16:11:06.08 - Rate of payment - Nutritional therapy, nutritional supplements, and electrolyte replacements
- Section 67:16:11:06.09 - Rate of payment - Orthodontic treatment
- Section 67:16:11:06.10 - Rate of payment - Drugs. Repealed
- Section 67:16:11:06.11 - Rate of payment - Medical equipment. Repealed
- Section 67:16:11:06.12 - Rate of payment - Other physician services. Repealed
- Section 67:16:11:06.13 - Rate of payment - Home-based therapy services. Repealed
- Section 67:16:11:06.14 - Rate of payment - Home health services. Repealed
- Section 67:16:11:06.15 - Rate of payment - Private duty nursing services
- Section 67:16:11:06.16 - Rate of payment - Extended home health aide services
- Section 67:16:11:07 - Dental services covered under EPSDT. Repealed
- Section 67:16:11:08 - Services not covered under EPSDT. Repealed
- Section 67:16:11:08.01 - Cost not to exceed long-term institutional care
- Section 67:16:11:08.02 - Uncompleted orthodontic treatment subject to refund provisions. Repealed
- Section 67:16:11:09 - Prior authorization for dental services under EPSDT. Repealed
- Section 67:16:11:10 - Claims for dental services and materials - Payment limits. Repealed
- Section 67:16:11:11 - Utilization review
- Section 67:16:11:12 - Cost sharing. Repealed
- Section 67:16:11:13 - Billing requirements
- Section 67:16:11:13.01 - Billing requirements - Home-based therapy services. Repealed
- Section 67:16:11:13.02 - Billing requirements - Orthodontic treatment. Repealed
- Section 67:16:11:14 - Claim requirements
- Section 67:16:11:15 - Transferred
- Section 67:16:11:16 - Transferred
- Section 67:16:11:17 - Claim requirements - Orthodontia services
- Section 67:16:11:18 - Claim requirements - Dental services. Repealed
- Section 67:16:11:19 - Claim requirements - Psychological services. Repealed
- Section 67:16:11:19.01 - Claim requirements - Home-based therapy services. Repealed
- Section 67:16:11:19.02 - Claim requirements - Private duty nursing - Extended home health aide services
- Section 67:16:11:19.03 - Claim requirements - Screenings
- Section 67:16:11:19.04 - Claim requirements - Immunizations
- Section 67:16:11:20 - Application of other chapters
- Appendix A - List of Dental Procedure Codes and Limits, repealed, 35 SDR 88, effective October 23, 2008
- Appendix B - List of Medical Procedures and Limits of Dental/Medical Services, repealed, 35 SDR 88, effective October 23, 2008
- Appendix C - List of Procedure Codes and Prices for Orthodontic Services, repealed, 35 SDR 88, effective October 23, 2008
- Appendix D - Transferred
- Appendix E
- Appendix F - Orthodontic Assessment Record, repealed, 35 SDR 88, effective October 23, 2008
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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
