CHAPTER 67:16:11

EARLY AND PERIODIC SCREENING

Section

67:16:11:01                                       Definitions.

67:16:11:01.01                                  Repealed.

67:16:11:02                                       Eligibility requirements.

67:16:11:03                                       Covered services -- Limits.

67:16:11:03.01 to 67:16:11:03.03      Repealed.

67:16:11:03.04                                  Transferred.

67:16:11:03.05                                  Nutritional therapy and nutritional supplements.

67:16:11:03.06                                  Orthodontic treatment.

67:16:11:03.07 to 67:16:11:03.16      Repealed.

67:16:11:03.17                                  Transferred.

67:16:11:03.18 and 67:16:11:03.19Repealed.

67:16:11:03.20                                  Private duty nursing services.

67:16:11:03.21                                  Extended home health aide services.

67:16:11:03.22                                  Private duty nursing services -- Extended home health aide services -- Prior authorization -- Reauthorization.

67:16:11:03.23                                  Repealed.

67:16:11:04                                       Screening services under EPSDT.

67:16:11:04.01                                  Periodicity schedules for complete, comprehensive screenings.

67:16:11:05                                       Rate of payment -- Screening services.

67:16:11:05.01                                  Rate of payment -- Immunizations.

67:16:11:06 to 67:16:11:06.06           Repealed.

67:16:11:06.07                                  Transferred.

67:16:11:06.08                                  Rate of payment -- Nutritional therapy, nutritional supplements, and electrolyte replacements.

67:16:11:06.09                                  Rate of payment -- Orthodontic treatment.

67:16:11:06.10 to 67:16:11:06.14      Repealed.

67:16:11:06.15                                  Rate of payment -- Private duty nursing services.

67:16:11:06.16                                  Rate of payment -- Extended home health aide services.

67:16:11:07 and 67:16:11:08           Repealed.

67:16:11:08.01                                  Cost not to exceed long-term institutional care.

67:16:11:08.02 to 67:16:11:10           Repealed.

67:16:11:11                                       Utilization review.

67:16:11:12                                       Repealed.

67:16:11:13                                       Billing requirements.

67:16:11:13.01 and 67:16:11:13.02Repealed.

67:16:11:14                                       Claim requirements.

67:16:11:15 and 67:16:11:16           Transferred.

67:16:11:17                                       Claim requirements -- Orthodontia services.

67:16:11:18 to 67:16:11:19.01           Repealed.

67:16:11:19.02                                  Claim requirements -- Private duty nursing -- Extended home health aide services.

67:16:11:19.03                                  Claim requirements -- Screenings.

67:16:11:19.04                                  Claim requirements -- Immunizations.

67:16:11:20                                       Application of other chapters.

Appendix A   List of Dental Procedure Codes and Limits, repealed, 35 SDR 88, effective October 23, 2008.

Appendix B   List of Medical Procedures and Limits of Dental/Medical Services, repealed, 35 SDR 88, effective October 23, 2008.

Appendix C   List of Procedure Codes and Prices for Orthodontic Services, repealed, 35 SDR 88, effective October 23, 2008.

Appendix D   Transferred.

Appendix E    Certificate of Medical Necessity for Durable Medical Equipment.

Appendix F    Orthodontic Assessment Record, repealed, 35 SDR 88, effective October 23, 2008.