South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:54 - Medical programs administered by Department of Human Services
Chapter 67:54:06 - Assistive daily living services for individuals with quadriplegia
Section 67:54:06:13 - Payment, procedure codes, and limits for covered services
Payment for assistive daily living services is limited to the following procedure codes:
|
PROCEDURE |
|
|
CODE |
PROCEDURE |
|
T1019 |
Services of a personal attendant |
|
T1016 |
Case management |
|
S5115 |
Consumer preparation |
|
S5160 |
Emergency response device |
|
T1000 |
Private duty nursing |
A provider may bill for no more than three units of services of a personal attendant if the actual service time is less than 45 minutes and the personal attendant did not provide services for another consumer immediately preceding or subsequent to the services provided to the consumer on whose behalf the services are being billed.
The Department of Human Services shall establish the rate of payment in the provider agency's contract.
General Authority: SDCL 28-6-1(2).
Law Implemented: SDCL 28-6-1(2).
