S.D. Admin. R. 67:16:42:12
A provider submitting a claim for reimbursement under this chapter must submit the claim at the provider's usual and customary charge.
Costs of professional intervention services, such as nursing and dietary, which are pertinent to the parenteral therapy are included in the cost of the parenteral therapy.
The claim must contain the applicable procedure codes for the items and services provided.
Claims for enteral therapy services for individuals age 21 and older and parenteral therapy may not be submitted unless the provider obtained approval from the department before the services were provided.
A claim for intermittent home health skilled nursing visits must meet the requirements of chapter 67:16:05.
S.D. Admin. R. 67:16:42:12
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.