67:16:48:03.  Services not covered. The following services are not covered under the provisions of this chapter:

 

          (1)  Treatment for a diagnosis of substance use disorder that exceeds the limits established by the division, unless prior authorization is approved by the division;

          (2) Out-of-state substance use disorder treatment unless the division determines that appropriate in-state treatment is not available;

          (3)  Treatment for a gambling disorder;

          (4)  Room and board for residential services;

          (5)  Substance use disorder treatment before the integrated assessment is completed;

          (6)  Substance use disorder treatment after 30 days if the treatment plan has not been completed;

          (7)  Substance use disorder treatment if a required review has not been completed;

          (8)  Court appearances, staffing sessions, or treatment team appearances; and

          (9)  Substance use disorder services provided to a recipient incarcerated in a correctional facility.

 

          Source: 43 SDR 80, effective December 5, 2016; 44 SDR 192, effective July 2, 2018.

          General Authority: SDCL 28-6-1(1)(4).

          Law Implemented: SDCL 28-6-1(1)(4).