<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.s8c0b9bed-b976-469c-918c-5f203b7e432fP0 { 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.s8c0b9bed-b976-469c-918c-5f203b7e432fC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8c0b9bed-b976-469c-918c-5f203b7e432f000003 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:46:03"><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000000">67:16:46:03</span></a><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000001">.  Eligibility requirements -- Individuals.</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> An individual is eligible to participate in diabetes </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">self-management training,</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> if the individual is not institutionalized, the </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">training</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> is </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">conducted</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> by a provider eligible under § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:46:02"><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000002">67:16:46:02</span></a><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">, </span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">the individual has not previously participated in diabetes self-management training, </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">and:</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432f000003"> </span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    (1)  The individual is newly diagnosed </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">with diabetes or gestational diabetes</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">;</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    (</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">2</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">)  The individual demonstrates poor glycemic control</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">,</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> evidence</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">d</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> by </span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">a </span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">glycated hemoglobin level </span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">that is </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">more than 2 percent above the upper limit of normal for the assay used;</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    (</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">3</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">)  The individual's treatment regimen</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> has been changed by a physician or other licensed practitioner</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">;</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    (</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">4</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">)  The individual has </span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">had </span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">documented episodes of acute, severe hypoglycemia or hyperglycemia </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">that occurred</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> in the past year </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">and</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> required third-party assistance; or</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    (</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">5</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">)  The individual is at high risk because of extremity, renal, or cardiac complications</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">,</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> or diabetic retinopathy.</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432f000003"> </span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000001">Source:</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> 28 SDR 84, effective December 20, 2001; 44 SDR 94, effective December 4, 2017</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">; 49 SDR 21, effective September 12, 2022</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">.</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000001">General Authority:</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000002">28-6-1</span></a><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">.</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">    </span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000001">Law Implemented:</span><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0-000002">28-6-1</span></a><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">(1)(4)</span><span class="s8c0b9bed-b976-469c-918c-5f203b7e432fC0">.</span></p><p dir="ltr" class="s8c0b9bed-b976-469c-918c-5f203b7e432fP0"><span xml:space="preserve" class="s8c0b9bed-b976-469c-918c-5f203b7e432f000003"> </span></p></div></body></html>