South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:48 - Treatment for substance use disorders
Section 67:16:48:05 - Prior authorization requirements
Current through Register Vol. 51, page 43, September 23, 2024
The requirements for prior authorization of a medically monitored intensive inpatient program, clinically-managed low-intensity residential treatment program for pregnant women or women with dependent children, and intensive methamphetamine services are as follows:
(1) An addiction counselor completes an integrated assessment, the assessment indicates a diagnosis of a substance use disorder, and the addiction counselor determines the recipient meets the criteria for placement in, transfer to, or continued stay in a substance use disorder treatment program;
(2) A physician or other licensed practitioner refers the recipient for placement in, transfer to, or continued stay in a substance use disorder treatment program and provides the division with written verification of pregnancy, if applicable; and
(3) The division authorizes the treatment.
General Authority: SDCL 28-6-1(1)(2)(4).
Law Implemented: SDCL 28-6-1(1)(2)(4).
