<html> <head> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <title>Rule 67:16:05 HOME HEALTH SERVICES</title> <META NAME="Keywords" Content="Administrative Rules 67:16:05"> <META NAME="Description" Content="Administrative Rules 67:16:05 HOME HEALTH SERVICES"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>CHAPTER 67:16:05</span></b></p> <p class=MsoNormal align=center style='text-align:center'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal align=center style='text-align:center'><b><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>HOME HEALTH SERVICES</span></b></p> <p class=MsoNormal align=center style='text-align:center'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal align=center style='text-align:center'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>Section</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:01">67:16:05:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Definition of terms.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:02">67:16:05:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:03">67:16:05:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Individuals eligible for home health services.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:04">67:16:05:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:05">67:16:05:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Covered services -- Limits.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:05.01">67:16:05:05.01</a>&nbsp;&nbsp; Service restrictions.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:05.02">67:16:05:05.02</a>&nbsp;&nbsp; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>Prescription for services</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> required before services begin -- Plan of care -- Certification and recertification.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:05.03">67:16:05:05.03</a>&nbsp;&nbsp; Supervisory visit required when home health aide services provided.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:05.04">67:16:05:05.04</a>&nbsp;&nbsp; Repealed.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:05.05">67:16:05:05.05</a>&nbsp;&nbsp; Respiratory therapy -- Limitations.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:05.06">67:16:05:05.06</a>&nbsp;&nbsp; Postpartum services -- Limitations.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:06">67:16:05:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Services not covered.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:06.01">67:16:05:06.01</a>&nbsp;&nbsp; Medical records.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:07">67:16:05:07</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Covered services -- Rate of payment.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:07.01">67:16:05:07.01</a>&nbsp;&nbsp; Billing requirements.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:07.02">67:16:05:07.02</a>&nbsp;&nbsp; Cost not to exceed institutional care.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:07.03">67:16:05:07.03</a>&nbsp;&nbsp; Services provided outside South Dakota.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:08">67:16:05:08</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Utilization review.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:09">67:16:05:09</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Claim requirements.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'><a href="DisplayRule.aspx?Rule=67:16:05:10">67:16:05:10</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Application of other chapters.</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='margin-left:1.3in;text-align:justify;text-indent: -1.3in'><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html>