67:16:44:02.  Covered services. Services covered under this chapter are limited to services that meet the following criteria:

 

          (1)  Medically necessary services covered under chapters 67:16:01, 67:16:02, 67:16:06, 67:16:11, 67:16:12, 67:16:41, and 67:16:48;

          (2)  Provided to a recipient at a federally qualified health center, rural health clinic, or other outpatient setting, including the recipient's place of residence or a skilled nursing facility. Services provided at an inpatient or outpatient hospital are not covered; and

          (3)  Provided under the medical direction of a physician.

 

          Source: 23 SDR 109, effective January 5, 1997; 26 SDR 168, effective July 1, 2000; 37 SDR 53, effective September 23, 2010; 46 SDR 50, effective October 10, 2019.

          General Authority: SDCL 28-6-1.

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

 

          Cross-References:

          Scope of benefits - Clinic, 42 C.F.R. § 405.2411.

          Scope of services - Center, 42 C.F.R. § 405.2446.