The department shall pay providers for authorized services according to the established Medicaid rates, as referenced in § 67:16:02:01.01. Eligible early intervention services are reimbursed at the Medicaid rate. Early intervention services that are not eligible Medicaid services, are as provided in this section. Except as identified under § 24:14:04:10, funds under this article must be used to provide payment for the provision of early intervention services that meet the requirements under §§ 24:14:08:01 to 24:14:08:20, inclusive. Rates identified are for a 15-minute unit of service. Fractions of a unit are rounded up to the next unit. A provider may bill for services only if the recipient was present.

Usual and customary charge

Family training, counseling, and home visits, unless medical in nature and provided by a qualified mental health professional. In those cases the Medicaid rate applies.

Calculated at 80% of

commonly billed speech rate

Special instruction

Calculated at 80% of

commonly billed speech rate

Source: 26 SDR 153, effective May 22, 2000; 28 SDR 105, effective January 31, 2002; 35 SDR 82, effective October 22, 2008 ; 49 SDR 7, effective July 31, 2022 .

General Authority: SDCL 13-37-1.1

Law Implemented: SDCL 13-1-23 , 13-14-1 , 13-37-1.1

Prior versions effective: 2008-10-22.