67 : 16 : 48 : 05 . Prior authorization requirements . The requirements for prior authorization of a medically monitored intensive inpatient program, clinically-managed low-intensity residential treatment program for pregnant women or women with dependent children, and intensive methamphetamine services are as follows:

1. (1) An addiction counselor completes an integrated assessment, the assessment indicates a diagnosis of a substance use disorder, and the addiction counselor determines the recipient meets the criteria for placement in, transfer to, or continued stay in a substance use disorder treatment program;
2. (2) A physician or other licensed practitioner refers the recipient for placement in, transfer to, or continued stay in a substance use disorder treatment program and provides the division with written verification of pregnancy, if applicable; and
3. (3) The division authorizes the treatment.

Source: 43 SDR 80 , effective December 5, 2016 ; 44 SDR 94, effective December 4, 2017; 44 SDR 192, effective July 2, 2018.

General Authority: SDCL 28-6-1(1)(2)(4).

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

Prior versions effective: 2017-12-04, 2016-12-05.