Payment for assistive daily living services is limited to the following procedure codes:

PROCEDURE

CODE

PROCEDURE

T1019

Services of a personal attendant

T1016

Case management

S5115

Consumer preparation

S5160

Emergency response device

T1000

Private duty nursing

A provider may bill for no more than three units of services of a personal attendant if the actual service time is less than 45 minutes and the personal attendant did not provide services for another consumer immediately preceding or subsequent to the services provided to the consumer on whose behalf the services are being billed.

The Department of Human Services shall establish the rate of payment in the provider agency's contract.

Source: 21 SDR 230, effective July 13, 1995; 26 SDR 99, effective January 30, 2000; 30 SDR 135, effective March 16, 2004.

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

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