Outpatient hospital services covered.
Effective Dec 4, 201744 SDR 94Source: 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; 20 SDR 144, effective March 10, 1994; 22 SDR 143, effective May 9, 1996; 23 SDR 232, effective July 10, 1997; 35 SDR 49, effective September 10, 2008; 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).
The following outpatient hospital services covered under the medical assistance program are available to eligible individuals:
- (1) Laboratory services;
- (2) X ray and other radiology services;
- (3) Emergency room services;
- (4) Medical supplies used during treatment at the facility;
- (5) Physical therapy, speech therapy, and occupational therapy when furnished or supervised by a licensed therapist and periodically reviewed by a physician or other licensed practitioner;
- (6) Whole blood or packed red cells;
- (7) Drugs and biologicals which cannot be self-administered;
- (8) Dialysis treatments;
- (9) Services of hospital-based physicians or other licensed practitioner;
- (10) Outpatient surgical procedures, including those procedures covered under the provisions of chapter 67:16:28;
- (11) Sterilizations authorized under § 67:16:02:09;
- (12) Hyperbaric oxygen therapy if the requirements listed on the department's prior authorization website are met; and
- (13) Cardiac rehabilitation - Phase II.
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; 20 SDR 144, effective March 10, 1994; 22 SDR 143, effective May 9, 1996; 23 SDR 232, effective July 10, 1997; 35 SDR 49, effective September 10, 2008; 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, 2008-09-10.