CHAPTER 67:61:12
EARLY INTERVENTION PROGRAM
Section
67:61:12:01 Eligibility criteria.
67:61:12:02 Services provided.
67:61:12:03 Reimbursable services.
67:61:12:04 Nonreimbursable services.
67:61:12:01. Eligibility criteria. To be eligible for early intervention services a client:
(1) May not be at risk of withdrawal;
(2) Must have no emotional, behavioral, or cognitive conditions or have very stable biomedical conditions; or either has no or has very stable emotional, behavioral, or cognitive conditions; and
(3) Must meet one of the following:
(a) Lack an understanding of, or lack the skills to change, current substance use patterns or high-risk behaviors;
(b) Have an increased risk of initiating or progressing in substance use patterns or high-risk behaviors due to substance use or values about substance use; or
(c) Have a social support system or significant others who increase the risk of a substance use.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023.
General Authority: SDCL 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
67:61:12:02. Services provided. An early intervention program shall provide:
(1) An initial screening and planning that occurs within forty-eight hours of the initial contact and results in the following being recorded in the client's case record:
(a) A description of the client's current problems and needs;
(b) A description of the client's emotional and physical state, as determined through a screening for the presence of any cognitive disability, mental illness, and medical disorders, together with any collateral information and prescribed medications;
(c) A description of the client's drug and alcohol use, including the types of substances used, whether prescribed or over the counter medications, the age of first use, the amount used, the frequency of use, the date of last use, and the duration of use; and
(d) A statement of the intended course of action;
(2) Crisis intervention;
(3) Individual or family counseling; and
(4) Discharge planning providing:
(a) Continued care planning;
(b) Referral to and liaison with other resources that offer education, vocational, medical, legal, social, psychological, employment, and other related alcohol and drug services; where applicable, and
(c) Referral to and coordination of medical services, including information detailing the availability of tuberculosis and human immunodeficiency virus services, pursuant to 42 U.S.C. § 300x-24, in effect on December 13, 2016.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023.
General Authority: SDCL 1-36-35, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
Note: Individual or family counseling may include education regarding alcohol and drug abuse and dependence, including the biomedical effects of drug and alcohol use and abuse and the importance of medical care and treatment in the recovery process. Individual or family counseling may also include education regarding tuberculosis and the human immunodeficiency virus, how each is transmitted, and how to safeguard against transmission.
67:61:12:03. Reimbursable services. Reimbursable services are limited to face-to-face and telehealth contacts for the purpose of providing services pursuant to§ 67:61:12:02.
Reimbursable services for eligible Medicaid clients are limited to services provided under chapter 67:16:48.
Source: 43 SDR 80, effective December 5, 2016; 48 SDR 14, effective August 22, 2021.
General Authority: SDCL 34-20A-27(1)(4).
Law Implemented: SDCL 34-20A-27.
67:61:12:04. Nonreimbursable services. The following are nonreimbursable under this chapter:
(1) Services that are solely recreational in nature;
(2) Time spent preparing paperwork from client assessments or clinical documentation; and
(3) Time spent traveling.
Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023.
General Authority: SDCL 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
