CHAPTER 67:61:13
OUTPATIENT TREATMENT PROGRAM
Section
67:61:13:01 Eligibility criteria.
67:61:13:02 Services provided.
67:61:13:03 Intensity of services.
67:61:13:04 Reimbursable services.
67:61:13:05 Nonreimbursable services.
67:61:13:01. Eligibility criteria. To be eligible for an outpatient treatment program:
(1) The client must have no or only a minimal risk of severe withdrawal;
(2) The client must either have no or very stable biomedical conditions, or be receiving concurrent medical monitoring;
(3) The client's emotional, behavioral, or cognitive conditions may not cause more than minimal interference with substance use recovery, difficulties in social functioning, and the ability for the client to care for himself or herself;
(4) The client must be willing to engage in treatment, even if the client needs motivational and monitoring strategies to promote progress through the stages of change;
(5) The client must be able to maintain abstinence or control substance use and pursue recovery or motivational goals with minimal support;
(6) The client's recovery environment must be supportive; and
(7) The client must have the skills to cope with stressful or high risk situations.
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.
67:61:13:02. Services provided. The outpatient treatment program shall provide:
(1) An integrated assessment, pursuant to § 67:61:07:05;
(2) Crisis intervention;
(3) Any combination of individual, group, and family counseling providing:
(a) Education regarding substance 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; and
(b) Education regarding tuberculosis and the human immunodeficiency virus, how each is transmitted, and how to safeguard against transmission;
(4) Discharge planning providing:
(a) Continued care planning and counseling;
(b) Referral to and coordination of care with other resources that will assist a client's recovery, including educational, vocational, medical, legal, social, mental health, employment, and other related alcohol and drug services; 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 1-36-25, 34-20A-27.
Law Implemented: SDCL 34-20A-27.
67:61:13:03. Intensity of services. The outpatient treatment program may provide to each client any combination of individual, group, or family counseling services, of any intensity and frequency, as required by the continued service criteria, pursuant to § 67:61:07:07. If counseling is provided for adults, these services must be less than nine hours in a one-week period. Services for adolescent clients must be less than six hours in a one-week period.
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.
67:61:13:04. Reimbursable services. Reimbursable services are limited to face-to-face and telehealth contacts for the purpose of providing services pursuant to§ 67:61:13:02.
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.
67:61:13:05. Nonreimbursable services. The following are nonreimbursable under this chapter:
(1) Driving under the influence and driving while intoxicated education courses;
(2) Services that are solely recreational in nature;
(3) Time spent preparing paperwork from client assessments or clinical documentation;
(4) Time spent traveling; and
(5) Community twelve-step programs.
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.
