24:14:04:12. Payment for provision of early intervention services. The department shall pay providers for authorized services according to the established Medicaid rates, as referenced in § 67:16:02:01.01. Eligible early intervention services are reimbursed at the Medicaid rate. Early intervention services that are not eligible Medicaid services, are as provided in this section. Except as identified under § 24:14:04:10, funds under this article must be used to provide payment for the provision of early intervention services that meet the requirements under §§ 24:14:08:01 to 24:14:08:20, inclusive. Rates identified are for a 15-minute unit of service. Fractions of a unit are rounded up to the next unit. A provider may bill for services only if the recipient was present.
Service | Rate |
|
|
Assistive technology service and device | Usual and customary charge |
Family training, counseling, and home visits, unless medical in nature and provided by a qualified mental health professional. In those cases the Medicaid rate applies. |
Calculated at 80% of commonly billed speech rate |
Special instruction |
Calculated at 80% of commonly billed speech rate |
|
|
Source: 26 SDR 153, effective May 22, 2000; 28 SDR 105, effective January 31, 2002; 35 SDR 82, effective October 22, 2008; 49 SDR 7, effective July 31, 2022.
General Authority: SDCL 13-37-1.1
Law Implemented: SDCL 13-1-23, 13-14-1, 13-37-1.1
24:14:04:12.01. Reimbursement if travel is necessary solely to provide early intervention service. Reimbursement of travel is available to a service provider only if travel is necessary solely to provide early intervention services. If the service provider is required to travel to a location away from the service provider's home or office for another purpose, travel reimbursement is available only for the portion of the travel required for the sole purpose of providing the early intervention services.
Source: 31 SDR 67, effective November 15, 2004; 49 SDR 7, effective July 31, 2022.
General Authority: SDCL 13-37-1.1.
Law Implemented: SDCL 13-1-23, 13-14-1, 13-37-1.1.
24:14:04:12.02. Reimbursement for travel to place of other employment. The travel between a service provider's home and that provider's other place of employment unless for the purpose of providing early intervention services, is not eligible for reimbursement if the provider travels from the provider's home to that other place of employment and then travels to an eligible child's home. Reimbursement may be paid for a provider's travel only if the travel from the provider's other place of employment to an eligible child's home and back to the point of origin, or to an equidistant point, is for official early intervention business. The provider may not be reimbursed for travel home if the travel is conducted as a responsibility of the provider's other place of employment.
Source: 31 SDR 67, effective November 15, 2004; 49 SDR 7, effective July 31, 2022.
General Authority: SDCL 13-37-1.1.
Law Implemented: SDCL 13-1-23, 13-14-1, 13-37-1.1.
