A claim for services covered under this chapter must be submitted according to the following requirements:

1. (1) For orthodontic services, follow the claim requirements of § 67:16:11:17;
2. (2) For private duty nursing, include the applicable procedure codes for the covered services provided and follow the claim requirements of § 67:16:11:19.02;
3. (3) For extended home health aide services, include the applicable procedure codes for the covered services provided and follow the claim requirements of § 67:16:11:19.02;
4. (4) For complete, comprehensive screenings and partial screenings, follow the requirements in § 67:16:02:17;
5. (5) For nutrition services follow the requirements of § 67:16:42:13; and
6. (6) For immunizations, follow the requirements of § 67:16:11:19.04.

Source: 17 SDR 37, effective September 11, 1990; 18 SDR 209, effective June 23, 1992; 19 SDR 82, effective December 7, 1992; 22 SDR 32, effective September 11, 1995; 35 SDR 88, effective October 23, 2008.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.