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 67:16:11:03.21 - Extended home health aide services
Current through Register Vol. 51, page 43, September 23, 2024
Extended home health aide services are covered when the following requirements are met:
(1) The services are medically necessary;
(2) The services are provided to an individual requiring more than three consecutive hours of patient care when a condition or illness would result in institutionalization if not cared for at home;
(3) The services are provided by a home health agency as defined in § 67:16:05:01;
(4) The services are supervised according to § 67:16:05:05.03; and
(5) The services are authorized by the department before they are provided.
The individual's record must contain written documentation verifying that these requirements have been met.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
Private duty nursing services -- Extended home health aide services -- Prior authorization -- Reauthorization, § 67:16:11:03.22; Covered services must be medically necessary, § 67:16:01:06.02.
