<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.s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0 { 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.s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003 { 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="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:02:06"><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000000">67:16:02:06</span></a><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000001">.  Health services not covered.</span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0"> In addition to the services not specifically listed in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:02:05"><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000002">67:16:02:05</span></a><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">, the following health services and items are not covered under the medical assistance program:</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003"> </span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    (1)  Medical equipment for a resident in a nursing facility</span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">,</span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0"> an intermediate care facility for individuals with intellectual disabilities</span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">, or an institution for individuals with a mental disease</span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">;</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003"> </span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    (2)  Self-help devices, exercise equipment, protective outerwear, and personal comfort or environmental control equipment, including air conditioners, humidifiers, dehumidifiers, heaters, and furnaces;</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003"> </span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    (3)  Any weight loss program or activity;</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003"> </span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    (4)  Agents to promote fertility;</span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0"> and</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003"> </span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    (5)  Procedures to reverse a previous sterilization</span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">.</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003"> </span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    </span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000001">Source:</span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0"> SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 9 SDR 164, effective June 30, 1983; 11 SDR 86, effective December 30, 1984; 16 SDR 234, effective July 2, 1990; 17 SDR 200, effective July 1, 1991; 19 SDR 26, effective August 23, 1992; 19 SDR 165, effective May 3, 1993; 20 SDR 144, effective March 10, 1994; 37 SDR 53, effective September 23, 2010; 40 SDR 122, effective January 8, 2014</span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">; 50 SDR 63, effective November 27, 2023</span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">.</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    </span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000001">General Authority:</span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000002">28-6-1</span></a><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">.</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    </span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000001">Law Implemented:</span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000002">28-6-1</span></a><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">.</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003"> </span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    </span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000001">Cross-References:</span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0"> </span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    </span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">Medical equipment, ch</span><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">apter</span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:29"><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000002">67:16:29</span></a><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">.</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">    </span><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">Services not covered, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:01:08"><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0-000002">67:16:01:08</span></a><span class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2C0">.</span></p><p dir="ltr" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2P0"><span xml:space="preserve" class="s7c3f96fb-9888-4191-83d9-0b10c76e86b2000003"> </span></p></div></body></html>