CHAPTER 67:61:14
INTENSIVE OUTPATIENT TREATMENT PROGRAM
Section
67:61:14:01 Eligibility criteria.
67:61:14:02 Services provided.
67:61:14:03 Intensity of services.
67:61:14:04 Reimbursable services.
67:61:14:05 Nonreimbursable services.
67:61:14:01. Eligibility criteria. To be eligible for intensive outpatient program services:
(1) The client must be at minimal risk of severe withdrawal;
(2) The client must either have no or very stable biomedical conditions;
(3) Any of the client's emotional, behavioral, or cognitive conditions, which may distract from the client's recovery and require monitoring, must be mild; and
(4) The client must meet one of the following:
(a) Have a variable engagement in treatment, ambivalence, or a lack of awareness of the substance use or mental health problem, and require a structured program to promote progress through the stages of change;
(b) Have substance use or mental health symptoms that have intensified and indicate a high likelihood of relapse or continued use, without close monitoring or support; or
(c) Have a non-supportive recovery environment, but be able to cope with structure and support.
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.
67:61:14:02. Services provided. The intensive outpatient program must provide:
(1) An integrated assessment, pursuant to § 67:61:07:05;
(2) Crisis intervention;
(3) Individual, group, and family counseling providing:
(a) 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; 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 education, 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.
67:61:14:03. Intensity of services. An intensive outpatient program shall provide any combination of individual, group, or family counseling, two or more times per week, to each client. Each adult client must be provided with a minimum of nine hours of these services per week. Each adolescent client must be provided with a minimum of six hours of these services per week.
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.
67:61:14:04. Reimbursable services. Reimbursable services are limited to face-to-face and telehealth contacts for the purpose of providing services pursuant to § 67:61:14:02.
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.
67:61:14:05. 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.
