The following inpatient hospital services covered under the medical assistance program are available to eligible individuals:

1. (1) Semiprivate room accommodations and board. Private rooms are covered when justified by a statement of medical necessity from the attending physician or other licensed practitioner;
2. (2) Regular nursing services routinely furnished by a hospital;
3. (3) Supplies, such as splints and casts, and use of appliances and equipment, such as wheelchairs, crutches, and prostheses;
4. (4) Whole blood or packed red cells;
5. (5) Diagnostic services;
6. (6) Therapeutic services;
7. (7) Operating and delivery rooms;
8. (8) Drugs and biologicals ordinarily furnished by the hospital;
9. (9) Medical social services;
10. (10) Services of hospital residents and interns who are in approved training programs;
11. (11) Dialysis treatments;
12. (12) Services of hospital-based physicians or other licensed practitioners;
13. (13) Sterilizations authorized under § 67:16:02:09;
14. (14) Hysterectomies authorized under 42 C.F.R. §§ 441.250 to 441.259, inclusive (as amended to April 1, 2017); and
15. (15) Services listed on the department's prior authorization website if authorized under § 67:16:03:02.01.

Source: SL 1975, ch 16, § 1; 1 SDR 30, effective October 13, 1974; 7 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 26, effective August 21, 1984; 16 SDR 235, effective July 5, 1990; 23 SDR 232, effective July 10. 1997; 42 SDR 51, effective October 13, 2015; 44 SDR 94, effective December 4, 2017.

General Authority: SDCL 28-6-1(1)(2).

Law Implemented: SDCL 28-6-1(1)(2).

Prior versions effective: 2015-10-13, 1997-07-10.