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CHAPTER 67:16:11

EARLY AND PERIODIC SCREENING

Section

67:16:11:01        Definitions.

67:16:11:01.01   Repealed.

67:16:11:02        Eligibility requirements.

67:16:11:03        Covered services -- Limits.

67:16:11:03.01   Repealed.

67:16:11:03.02   Repealed.

67:16:11:03.03   Repealed.

67:16:11:03.04   Transferred.

67:16:11:03.05   Nutritional therapy and nutritional supplements.

67:16:11:03.06   Orthodontic treatment.

67:16:11:03.07   Repealed.

67:16:11:03.08   Repealed.

67:16:11:03.09   Repealed.

67:16:11:03.10   Repealed.

67:16:11:03.11   Repealed.

67:16:11:03.12   Repealed.

67:16:11:03.13   Repealed.

67:16:11:03.14   Repealed.

67:16:11:03.15   Repealed.

67:16:11:03.16   Repealed.

67:16:11:03.17   Transferred.

67:16:11:03.18   Repealed.

67:16:11:03.19   Repealed.

67:16:11:03.20   Private duty nursing services.

67:16:11:03.21   Extended home health aide services.

67:16:11:03.22   Private duty nursing services -- Extended home health aide services -- Prior authorization -- Reauthorization.

67:16:11:03.23   Repealed.

67:16:11:04        Screening services under EPSDT.

67:16:11:04.01   Periodicity schedules for complete, comprehensive screenings.

67:16:11:05        Rate of payment -- Screening services.

67:16:11:05.01   Rate of payment -- Immunizations.

67:16:11:06        Repealed.

67:16:11:06.01   Repealed.

67:16:11:06.02   Repealed.

67:16:11:06.03   Repealed.

67:16:11:06.04   Repealed.

67:16:11:06.05   Repealed.

67:16:11:06.06   Repealed.

67:16:11:06.07   Transferred.

67:16:11:06.08   Rate of payment -- Nutritional therapy, nutritional supplements, and electrolyte replacements.

67:16:11:06.09   Rate of payment -- Orthodontic treatment.

67:16:11:06.10   Repealed.

67:16:11:06.11   Repealed.

67:16:11:06.12   Repealed.

67:16:11:06.13   Repealed.

67:16:11:06.14   Repealed.

67:16:11:06.15   Rate of payment -- Private duty nursing services.

67:16:11:06.16   Rate of payment -- Extended home health aide services.

67:16:11:07        Repealed.

67:16:11:08        Repealed.

67:16:11:08.01   Cost not to exceed long-term institutional care.

67:16:11:08.02   Repealed.

67:16:11:09        Repealed.

67:16:11:10        Repealed.

67:16:11:11        Utilization review.

67:16:11:12        Repealed.

67:16:11:13        Billing requirements.

67:16:11:13.01   Repealed.

67:16:11:13.02   Repealed.

67:16:11:14        Claim requirements.

67:16:11:15        Transferred.

67:16:11:16        Transferred.

67:16:11:17        Claim requirements -- Orthodontia services.

67:16:11:18        Repealed.

67:16:11:19        Repealed.

67:16:11:19.01   Repealed.

67:16:11:19.02   Claim requirements -- Private duty nursing -- Extended home health aide services.

67:16:11:19.03   Claim requirements -- Screenings.

67:16:11:19.04   Claim requirements -- Immunizations.

67:16:11:20        Application of other chapters.

Appendix A  List of Dental Procedure Codes and Limits, repealed, 35 SDR 88, effective October 23, 2008.

Appendix B  List of Medical Procedures and Limits of Dental/Medical Services, repealed, 35 SDR 88, effective October 23, 2008.

Appendix C  List of Procedure Codes and Prices for Orthodontic Services, repealed, 35 SDR 88, effective October 23, 2008.

Appendix D  Transferred.

Appendix E  Certificate of Medical Necessity for Durable Medical Equipment.

Appendix F  Orthodontic Assessment Record, repealed, 35 SDR 88, effective October 23, 2008.


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