<html> <head> <title>Rule 67:16:39:05 Provider requirements.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:39:05"> <META NAME="Description" Content="Administrative Rules 67:16:39:05 Provider requirements."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:39:05.&nbsp;&nbsp;Provider requirements.</b> A </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>primary care provider</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> must:</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Have an approved and signed medical assistance provider agreement with the department under chapter 67:16:33;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;Have an approved and signed primary care provider</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'> addendum to the provider</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> agreement with the department under this chapter;</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'> and</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Be licensed as a physician</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>,</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> osteopath</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>, physician assistant, certified nurse practitioner, or certified nurse midwife</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> by the state in which the </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>practitioner</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> is located or be a rural health clinic, a federally qualified health care center,</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> a tribal provider with a contract under public law 93-638,</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'> or an Indian Health Service clinic and have agreed to provide primary health care services under this chapter.</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> Nothing in this section authorizes any primary care provider to practice beyond the scope of the provider's license.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 20 SDR 135, effective February 22, 1994; 26 SDR 168, effective July 1, 2000; 30 SDR 115, effective February 4, 2004; 46 SDR 50, effective October 10, 2019; 47 SDR 38, effective October 6, 2020.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1</A></span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(1)(2)(4)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Cross-References:</b> Licensing requirements for physicians and osteopaths, SDCL ch <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-4">36-4</A>;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> Licensing requirements for physician assistants, SDCL ch 36-4A; Licensing requirements for certified nurse practitioners and certified nurse midwifes, SDCL ch 36-9A;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> Certification and approval of rural health clinics and federally qualified health care centers, 42 C.F.R. §&nbsp;491.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html>