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Administrative Rules

CHAPTER 67:62:11

CHILD OR YOUTH AND FAMILY SERVICES

Section

67:62:11:01        Eligibility criteria.

67:62:11:02        Services provided.

67:62:11:03        Reimbursable services.

67:62:11:04        Nonreimbursable services.




    67:62:11:01.  Eligibility criteria. To be eligible for services under § 67:62:11:02, the clinical record must contain documentation that indicates:

    (1)  At least one child in the family under the age of eighteen meets the criteria of serious emotional disturbance, as provided in SDCL 27A-15-1.1; or

    (2)  At least one youth who is eighteen years of age or older, but less than twenty-one years of age, needs a continuation of services started before the age of eighteen, in order to realize specific goals, or assist in the transition to adult services, and meets the criteria of serious emotional disturbance, provided in SDCL subdivisions 27A-15-1.1(2)(3)(4) and (5).

    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.




    67:62:11:02.  Services provided. Services may be provided in a location preferred by the child or youth and the child or youth's parent or guardian, including settings outside of the center.

    Services may be provided within an integrated system of care. The parents or guardian and family, of the child or youth with serious emotional disturbance, may be full participants in the planning, delivery, and evaluation of services.

    Services must be provided according to the individualized needs and strengths of the child or youth and the child or youth's family or guardian, and must be responsive to cultural differences and special needs of the child, youth, or family. The following child or youth and family services must be provided by the center according to the individualized needs of each child or youth:

    (1)  Integrated assessment, evaluation, and screening;

    (2)  Case management;

    (3)  Individual therapy;

    (4)  Group therapy;

    (5)  Parent or guardian group therapy;

    (6)  Family education, support, and therapy;

    (7)  Crisis assessment and intervention services, with twenty-four hour per day and seven day per week availability;

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

    (9)  Psychiatric nursing services, including components of physical assessment, medication assessment and monitoring, and medication administration for clients unable to self-administer their medications;

    (10)  Collateral contacts; and

    (11)  Liaison services, to facilitate treatment planning and coordination of services between mental health and other entities.

    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.




    67:62:11:03.  Reimbursable services. Reimbursable services are limited to face-to-face and telehealth contacts for the purpose of providing comprehensive mental health treatment pursuant to the services listed in subdivisions 67:62:11:02 (1) through (10).

    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(3).

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




    67:62:11:04.  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 for a client, other than an eligible child or youth with serious emotional disturbance and the child or youth's family;

    (5)  Services provided to clients who are in psychiatric residential treatment facilities;

    (6)  Services provided to clients who are in inpatient psychiatric hospitals;

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

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

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

    (10)  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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