Payment for orthodontic treatment is limited to the lesser of the provider's usual and customary charge for the covered service provided or the amount specified on the department's fee schedule website.

The rates of payment are subject to review and amendment by the department under the provisions of § 67:16:01:28.

Source: 17 SDR 37, effective September 11, 1990; 19 SDR 56, effective October 19, 1992; repealed, 23 SDR 197, effective May 26, 1997; 35 SDR 88, effective October 23, 2008; 42 SDR 51, effective October 13, 2015.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1 , 28-6-1.1.

Prior versions effective: 2008-10-23.