CHAPTER 67:61:15
DAY TREATMENT PROGRAM
Section
67:61:15:01 Eligibility criteria.
67:61:15:02 Services provided.
67:61:15:03 Intensity of services.
67:61:15:04 Reimbursable services.
67:61:15:05 Nonreimbursable services.
67:61:15:01. Eligibility criteria. To be eligible for day treatment program services:
(1) A client must be experiencing mild withdrawal or be at risk of 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 recovery and require stabilization, must be mild; and
(4) The client must meet one of the following:
(a) Require a structured program to promote progress through the stages of change;
(b) Be at a high risk of relapse or continued use, and deterioration in the level of functioning; or
(c) Have an environment that renders recovery unlikely, without structured monitoring 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.
67:61:15:02. Services provided. The day treatment program shall provide its clients with the following treatment services:
(1) An integrated assessment, pursuant to § 67:61:07:05;
(2) 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 recovery; and
(b) Education regarding tuberculosis and the human immunodeficiency virus, how each is transmitted, and how to safeguard against transmission;
(3) Education programming for adolescent clients; and
(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.
Additional services provided by residential day treatment programs must include housing and dietary services, and medical care including the following: tuberculosis and human immunodeficiency virus services pursuant to 42 U.S.C. § 300x-24, (Requirements Regarding Tuberculosis and Human Immunodeficiency Virus, October 27, 1992).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.
67:61:15:03. Intensity of services. The day treatment program for adults and adolescents shall provide a minimum of fifteen hours of any combination of individual, group, or family counseling services per week, to each client. A day treatment program for adults shall provide a minimum of five hours of additional services per week, on specialized topics that address the specific needs of the client. The additional services must be identified on the client's treatment plan or continued stay review. These services must be provided by an individual trained in the specific topic presented.
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.
67:61:15:04. Reimbursable services. Reimbursable day treatment program services are limited to face-to-face contacts, for the purpose of providing services, pursuant to § 67:61:15:02. Services are reimbursed through a per diem rate and are not eligible to be reimbursed through a fifteen-minute unit.
Reimbursable services for eligible Medicaid clients are limited to services provided under chapter 67:16:48.
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.
67:61:15:05. Nonreimbursable services. The following are nonreimbursable under this chapter:
(1) Billing for a client that exceeds the accredited bed capacity established by the department for clients residing in a residential day treatment program;
(2) Driving under the influence and driving while intoxicated education courses;
(3) Services that are solely recreational in nature;
(4) Time spent preparing paperwork from client assessments or clinical documentation;
(5) Time spent traveling; and
(6) 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.
