South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:25 - Transportation services
Section 67:16:25:02 - Ambulance services covered
Current through Register Vol. 51, page 43, September 23, 2024
Ambulance services are limited to medically necessary ground ambulance services at the pick-up point and ground or air ambulances services transporting the recipient locally or to the nearest medical provider that is equipped or trained to provide the necessary service. The following services are eligible for payment when provided by a participating ambulance provider:
(1) Ground ambulance service to or from a medical provider or between medical facilities when other means of transportation would endanger the life or health of the patient;
(2) Air ambulance service when the requirements of § 67:16:25:02.01 have been met;
(3) Services of additional attendants when medically necessary;
(4) Oxygen provided during transit;
(5) Loaded mileage. Mileage may not be billed for more than one patient per trip; and
(6) The ground and air ambulance services payable under the provisions of § 67:16:25:03. Ground ambulances may provide secure medical transportation as defined in § 67:16:25:01. These services are payable under the provisions of §§ 67:16:25:05 and 67:16:25:08.01.
At its discretion the department may pay for transportation services not meeting the conditions of this section if paying for the services results in an overall cost savings for the department.
General Authority: SDCL 28-6-1(1)(2)(4).
Law Implemented: SDCL 28-6-1(1)(2)(4).
