The following medically necessary covered services are exempt from this chapter:

1. (1) Family planning services;
2. (2) Emergency services as defined in chapter 67:16:01;
3. (3) Dental services listed in chapter 67:16:06;
4. (4) Podiatric services listed in chapter 67:16:07;
5. (5) Optometric and optical services listed in chapter 67:16:08;
6. (6) Chiropractic services listed in chapter 67:16:09;
7. (7) Immunization, home-based therapy, dental, orthodontic, and chemical dependency treatment services listed in chapter 67:16:11;
8. (8) Mental health services for individuals who are diagnosed with a serious emotional disturbance, as defined in § 67:62:11:01, or a serious mental illness, as defined in § 67:62:12:01;
9. (9) Prescription drug services listed in chapter 67:16:14;
10. (10) Personal care services listed in chapter 67:16:24;
11. (11) Transportation services listed in chapter 67:16:25; and
12. (12) Four urgent care visits per year, per recipient.

Source: 20 SDR 135, effective February 22, 1994; 30 SDR 115, effective February 4, 2004; 35 SDR 253, effective May 12, 2009 ; 43 SDR 80, effective December 5, 2016 ; 46 SDR 50, effective October 10, 2019.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1 (1)(2)(4) .

Prior versions effective: 2016-12-05, 2009-05-12.