Home health services are limited to:

1. (1) Skilled nursing services;
2. (2) Medical social services provided by a licensed social worker who is not an employee of the department;
3. (3) Medical supplies used incidental to the visit, when necessary to administer the attending physician or other licensed practitioner's prescribed plan of care;
4. (4) Multiple visits of the same discipline on the same day, if the medical necessity for the multiple visits is documented by the attending physician or other licensed practitioner in the individual's medical record;
5. (5) Daily visits if the medical necessity for the visits is documented by the attending physician or other licensed practitioner in the individual's medical record. The daily visits are limited to four weeks but may be extended beyond the four-week period if the attending physician or other licensed practitioner documents the need for the visits in the individual's medical record;
6. (6) Therapy services unless restricted by § 67:16:05:05.05; and

7. (7) Postpartum services meeting the requirements of § 67:16:05:05.06.

   The covered items and services provided under this chapter for children under the age of 21 are not subject to the limits contained in this section.

   Cross-References:

   Services not covered, § 67:16:05:06.

   Covered services must be medically necessary, § 67:16:01:06.02.

   Cost not to exceed institutional care, § 67:16:05:07.02.

   Covered services -- Limits, § 67:16:37:04.01.

Source: SL 1975, ch 16, § 1; 1 SDR 30, effective October 13, 1974; 4 SDR 88, effective June 26, 1978; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 111, effective January 7, 1990; 16 SDR 233, effective July 1, 1990; 18 SDR 203, effective July 1, 1992; 33 SDR 137, effective March 7, 2007; 35 SDR 88, effective October 23, 2008; 44 SDR 94, effective December 4, 2017; 47 SDR 38, effective October 6, 2020.

General Authority: SDCL 28-6-1.

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

Prior versions effective: 2017-12-04, 2008-10-23.