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Administrative Rules

CHAPTER 67:62:10

 

OUTPATIENT SERVICES

Section

67:62:10:01       Eligibility criteria.

67:62:10:02       Services provided.

67:62:10:03       Reimbursable services.

67:62:10:04       Nonreimbursable services.




    67:62:10:01.  Eligibility criteria. Individuals are eligible for outpatient clinic services if they have a mental disorder, with the exception of:

    (1)  Substance-related and addictive disorders; and

    (2)  Developmental disabilities unless they co-occur with another diagnosable mental disorder.

    Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023.

    General Authority: SDCL 27A-5-1.

    Law Implemented: SDCL 27A-3-1, 27A-5-1.




    67:62:10:02.  Services provided. Each center shall make the following outpatient services available to clients:

    (1)  Integrated assessment, evaluation, and screening;

    (2)  Individual therapy;

    (3)  Group therapy;

    (4)  Family therapy;

    (5)  Psychiatric services, with the primary purpose of prescribing, or reviewing a client's use of, pharmaceuticals, including psychiatric assessments, treatment, and prescription of pharmacotherapy; and

    (6)  Collateral contacts.

    Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023.

    General Authority: SDCL 27A-5-1.

    Law Implemented: SDCL 27A-3-1, 27A-5-1.




    67:62:10:03.  Reimbursable services. Reimbursable services are limited to face-to-face and telehealth contacts for the purpose of providing comprehensive mental health treatment pursuant to § 67:62:10:02.

    Source: 43 SDR 80, effective December 5, 2016; 48 SDR 14, effective August 22, 2021.

    General Authority: SDCL 1-36-25(1), 27A-5-1(2)(3).

    Law Implemented: SDCL 1-36-25, 27A-3-1, 27A-5-1.




    67:62:10:04.  Nonreimbursable services. The following are nonreimbursable under this chapter:

    (1)  Vocational counseling and vocational training in a classroom or at a job site;

    (2)  Academic educational services;

    (3)  Services that are solely recreational in nature;

    (4)  Services provided to clients who are in psychiatric residential treatment facilities or institutions for mental disease;

    (5)  Services provided to clients who are in detoxification centers;

    (6)  Services provided to clients who are incarcerated in a correctional facility;

    (7)  Services provided to clients who are in juvenile detention facilities; and

    (8)  Transportation services.

    Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023.

    General Authority: SDCL 1-36-25, 27A-5-1.

    Law Implemented: SDCL 27A-3-1, 27A-5-1.

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