<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.s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0 { 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.s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943a000003 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0-000004 { margin-top: 0; line-height: 115.0%; margin-bottom: 10pt; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; } </style></head><body><div><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:18:06"><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000000">67</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000000">:</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000000">61</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000000">:</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000000">18</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000000">:</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000000">06</span></a><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000001">.  Reimbursable services.</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> Reimbursable </span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">medically-monitored, intensive inpatient treatment program </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">services are limited to face</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">-</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">to-face contacts for the purpose of providing services</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">,</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> pursuant to §</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:18:04"><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000002">67:61:18:04</span></a><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">. Services</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> </span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">are reimbursed through a per diem rate and are not eligible to be reimbursed through a </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">fifteen-</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">minute unit.</span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943a000003"> </span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">    Documentation that the client was at the facility at the time of the daily census must</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">be available to support billing.</span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943a000003"> </span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">    Reimbursable services for eligible Medicaid clients are limited to services provided</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> </span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">under chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:48"><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000002">67:16:48</span></a><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">.</span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943a000003"> </span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">    </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000001">Source:</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">43</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> SDR </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">80</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">, effective </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">.</span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">    </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000001">General Authority:</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000002">1-36-25</span></a><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000002">34-20A-27</span></a><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">.</span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">    </span><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000001">Law Implemented:</span><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0-000002">34-20A-27</span></a><span class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aC0">.</span></p><p dir="ltr" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943aP0-000004"><span xml:space="preserve" class="s76c2e7c9-b1bf-4f0c-b7b8-7fa4acda943a000003"> </span></p></div></body></html>