Services not covered.
Effective Dec 4, 201744 SDR 94Source: SL 1975, ch 16, § 1; 1 SDR 30, effective October 13, 1974; 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; 44 SDR 94, effective December 4, 2017. | General Authority: SDCL 28-6-1 (1)(2) . | Law Implemented: SDCL 28-6-1 (1)(2) .
In addition to the other services not specifically listed in § 67:16:05:05, the following services are not covered under this chapter:
- (1) Physician or other licensed practitioner's medical or surgical services;
- (2) Drugs and biologicals;
- (3) Personal comfort items;
- (4) General housekeeping services;
- (5) Meals or other nutritional items delivered to the individual's home;
- (6) Posthospital benefits which include services by a home health agency operating primarily for the treatment of mental illness;
- (7) Visits by a dietician;
- (8) Visits solely for the purpose of teaching the individual or the individual's caregiver;
- (9) Services that are not medically necessary;
- (10) Custodial care; and
(11) Mileage.
Cross-References:
Covered services -- Limits, § 67:16:05:05.
Covered services must be medically necessary, § 67:16:01:06.02.
Source: SL 1975, ch 16, § 1; 1 SDR 30, effective October 13, 1974; 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; 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: 2007-03-07.