South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:44 - Federally qualified health centers and rural health clinics
Section 67:16:44:02 - Covered services
Current through Register Vol. 51, page 43, September 23, 2024
Services covered under this chapter are limited to services which meet the following criteria:
(1) Medically necessary services covered under the provisions of chapters 67:16:01, 67:16:02, 67:16:06, 67:16:11, 67:16:12, 67:16:41, and 67:16:48;
(2) Provided to a recipient at a FQHC, RHC, or other outpatient setting, including the recipient's place of residence or a skilled nursing facility. Services provided at an inpatient or outpatient hospital are not covered; and
(3) Provided under the medical direction of a physician.
General Authority: SDCL 28-6-1(1)(2).
Law Implemented: SDCL 28-6-1(1)(2).
Scope of benefits - Clinic, 42 C.F.R. § 405.2411.
Scope of services - Center, 42 C.F.R. § 405.2446.
