44:06:06:01. Chronic medical conditions covered. Chronic
medical conditions which may be covered for an eligible individual include the
following:
(1) Genetics:
(a) Multiple anomaly
syndromes;
(b) Genetic
conditions; and
(c) Chromosomal disorders;
(2) Cardiology:
(a) Cyanotic heart
disease;
(b) Acyanotic heart
disease;
(c) Cardiomyopathies
and pericarditis;
(d) Rheumatic heart
disease;
(e) Arrythmias;
(f) Systemic
hypertension;
(g) Kawasaki disease;
and
(h) Other cardiac
conditions which are complex and chronic;
(3) Gastroenterology:
(a) Malabsorption
syndrome/disorders;
(b) Inflammatory bowel
disease/ulcerative colitis;
(c) Congenital
abnormalities of gastrointestinal tract, excluding pyloric stenosis and
umbilical or femoral/inguinal hernias;
(d) Esophageal reflux;
and
(e) Other
gastrointestinal conditions which are complex and chronic;
(4) Pulmonary:
(a) Cystic fibrosis;
(b) Asthma;
(c) Bronchopulmonary
dysplasia;
(d) Pectus excovatum;
(e) Tracheo -
esophageal Fistula (with or without reflux); and
(f) Other pulmonary
conditions which are complex and chronic;
(5) Craniofacial anomalies:
(a) Cleft lip and
palate; and
(b) Other congenital
craniofacial anomalies that are complex and chronic;
(6) Endocrinology:
(a) Thyroid
malfunction;
(b) Delayed
adolescence;
(c) Parathyroid
malfunction;
(d) Sexual precocity;
(e) Pituitary tumors;
(f) Inborn errors of
metabolism;
(g) Diabetes mellitus
or insipidus; and
(h) Other endocrine
conditions which are complex and chronic;
(7) Hematology/hemophilia/oncology:
(a) Chronic anemia;
(b) Neutropenias;
(c) Leukemias;
(d) Clotting
disorders;
(e) Solid tumors;
(f) Hemophilia A;
(g) Hemophilia B; and
(h) Other
hematology/oncology conditions which are complex and chronic;
(8) Children's
rehabilitation:
(a) Congenital
hydrocephalus;
(b) Myelomeningocele;
(c) Juvenile
rheumatoid arthritis;
(d) Scoliosis;
(e) Congenital dislocation
of the hip;
(f) Slipped capital
femoral epiphysis;
(g) Club foot; and
(h) Other multiple
physical disabilities which are complex and chronic;
(9) Neurology:
(a) Congenital
anomalies of the central nervous system;
(b) Seizure disorders;
(c) Chronic
neuromuscular disorders;
(d) Cerebral palsy;
and
(e) Other neurological
disorders which are complex and chronic;
(10) Renal:
(a) Chronic
glomerulonephritis;
(b) Nephrosis;
(c) Chronic renal
tubular disease;
(d) Congenital
anomalies of the urinary tract; and
(e) Chronic renal
disease resulting from structural abnormalities of urinary tract;
(11) Ophthalmology:
(a) Severe myopia;
(b) Strabismus;
(c) Congenital
cataracts;
(d) Glaucoma; and
(e) Amblyopia.
Source:
6 SDR 93, effective July 1, 1980; 8 SDR 155, effective May 27, 1982; 9 SDR 162,
effective June 20, 1983; 14 SDR 182, effective July 11, 1988; 20 SDR 91,
effective December 19, 1993; 23 SDR 91, effective December 9, 1996; 30 SDR 198,
effective June 23, 2004; 33 SDR 106, effective December 26, 2006.
General
Authority: SDCL 34-1-21.
Law
Implemented: SDCL 34-1-21.