<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2e1223aa-abce-438f-9222-85cbff526b22P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s2e1223aa-abce-438f-9222-85cbff526b22C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2e1223aa-abce-438f-9222-85cbff526b22C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2e1223aa-abce-438f-9222-85cbff526b22C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2e1223aa-abce-438f-9222-85cbff526b22C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2e1223aa-abce-438f-9222-85cbff526b22000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s2e1223aa-abce-438f-9222-85cbff526b22P0"><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:12:01:45"><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000000">67:12:01:45</span></a><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000001">.  Basis for payments for medical examinations and reports -- Authorization required for intensive procedures.</span><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0"> Payments for </span><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0">medically necessary </span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0">examinations</span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0">, x-rays, laboratory tests,</span><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0"> and reports </span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0">must</span><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0"> be made in compliance with chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:02"><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000002">67:16:02</span></a><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0">.</span><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0"> The provider shall obtain prior authorization approval from the department if additional services are necessary to determine a disability before supplying services.</span></p><p dir="ltr" class="s2e1223aa-abce-438f-9222-85cbff526b22P0"><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22000003"> </span></p><p dir="ltr" class="s2e1223aa-abce-438f-9222-85cbff526b22P0"><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0">    </span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000001">Source:</span><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0"> SL 1975, ch 16, § 1; 1 SDR 53, effective January 22, 1975; 2 SDR 88, effective July 1, 1976; 17 SDR 23, effective September 18, 1980; 7 SDR 66, 7 SDR 89, effective July 1, 1981</span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0">; 51 SDR 52, effective November 11, 2024</span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0">.</span></p><p dir="ltr" class="s2e1223aa-abce-438f-9222-85cbff526b22P0"><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0">    </span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000001">General Authority:</span><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000002">28-</span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000002">6-1</span></a><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0">.</span></p><p dir="ltr" class="s2e1223aa-abce-438f-9222-85cbff526b22P0"><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0">    </span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000001">Law Implemented:</span><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000002">28-</span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000002">6</span><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0-000002">-1</span></a><span class="s2e1223aa-abce-438f-9222-85cbff526b22C0">.</span></p><p dir="ltr" class="s2e1223aa-abce-438f-9222-85cbff526b22P0"><span xml:space="preserve" class="s2e1223aa-abce-438f-9222-85cbff526b22000003"> </span></p></div></body></html>