Services not covered.
Effective Jan 7, 201440 SDR 122Source: 1 SDR 30, effective October 13, 1974; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 86, effective December 30, 1984; 16 SDR 64, effective October 8, 1989; 16 SDR 235, effective July 5, 1990; 17 SDR 200, effective July 1, 1991; 20 SDR 159, effective April 6, 1994; 22 SDR 94, effective January 10, 1996; portions of this rule were transferred to § 67:16:08:04, 35 SDR 49, effective September 10, 2008; 40 SDR 122, effective January 7, 2014. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.
The department does not cover the following items or services and, if provided, reimbursement must be obtained from the recipient:
- (1) Extended wear or daily disposable contact lenses;
- (2) Regular eyeglasses or contact lenses when used to supplement another pair of corrective vision lenses;
- (3) Athletic glasses;
- (4) Tinting, additional charges for photochromic lenses, lens decoration, or special lens coating;
- (5) Frames if a lens change is not medically necessary;
- (6) LASIK surgery; and
(7) Consultation services.
The provisions of this rule are not applicable to the items or services provided for children under the age of 21 if documented as medically necessary.
Source: 1 SDR 30, effective October 13, 1974; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 11 SDR 86, effective December 30, 1984; 16 SDR 64, effective October 8, 1989; 16 SDR 235, effective July 5, 1990; 17 SDR 200, effective July 1, 1991; 20 SDR 159, effective April 6, 1994; 22 SDR 94, effective January 10, 1996; portions of this rule were transferred to § 67:16:08:04, 35 SDR 49, effective September 10, 2008; 40 SDR 122, effective January 7, 2014.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.