South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:40 - Care management - Rehabilitation, psychiatric, neonatal
Section 67:16:40:08 - Admission requirements - Neonatal intensive care
Current through Register Vol. 51, page 43, September 23, 2024
Neonatal intensive care services are considered covered services if a neonatologist orders the admission, there is a comprehensive history and physical that addresses the need for the admission, the condition requires continuous cardiopulmonary monitoring, the condition requires monitoring of complete vital signs at a minimum of once every four hours, and the infant has at least one of the following conditions:
(1) Abnormal vital signs, hematology, or chemistry to cause endangerment;
(2) Congenital abnormalities causing functional impairment;
(3) Pulmonary distress;
(4) Metabolic distress;
(5) Cardiac distress;
(6) Neurological distress;
(7) Gastrointestinal abnormalities;
(8) Sepsis;
(9) Prematurity of significant intrauterine growth retardation; or
(10) Any condition which requires surgery within 48 hours after birth.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
