State of South Dakota

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Rule 67:16:29 MEDICAL EQUIPMENT

CHAPTER 67:16:29

 

MEDICAL EQUIPMENT

 

Section

67:16:29:01        Definitions.

67:16:29:02        Medical equipment covered.

67:16:29:02.01   Pressure reduction therapy -- Limits.

67:16:29:02.02   Pressure reduction therapy -- Requirements for prior authorization.

67:16:29:02.03   Pressure reduction therapy -- Required documentation.

67:16:29:02.04   Hearing aids -- Limits.

67:16:29:02.05   Lymphedema pumps -- Limits.

67:16:29:02.06   Lymphedema pump -- Prior authorization -- Required documentation.

67:16:29:02.07   Augmentative communication device -- Modification -- Prior authorization -- Required documentation.

67:16:29:02.08   Requirements for supervising speech pathologist.

67:16:29:02.09   Augmentative communication device -- Assessment requirements.

67:16:29:02.10   Augmentative communication device -- Maintenance and repair.

67:16:29:02.11   Augmentative communication device -- Purchase of warranty.

67:16:29:03        Maintenance and repair of medical equipment.

67:16:29:04        Limits on the provision of medical equipment.

67:16:29:04.01   Medical equipment not covered.

67:16:29:04.02   Provider to maintain certificate of medical necessity.

67:16:29:05        Rental or purchase at department's discretion -- Ownership of purchased equipment.

67:16:29:06        Rental payments applied to purchase.

67:16:29:06.01   Conditions under which rental equipment no longer covered.

67:16:29:07        Rate of payment.

67:16:29:08        Cost sharing.

67:16:29:09        Billing requirements.

67:16:29:10        Utilization review.

67:16:29:11        Claim requirements.

67:16:29:12        Application of other chapters.

Appendix A   List of Medical Equipment Procedure Codes and Fees, repealed, 35 SDR 49, effective September 10, 2008.

Appendix B   Durable Medical Equipment -- Medicare Maximum Allowance, repealed, 35 SDR 49, effective September 10, 2008.

Appendix C   Certificate of Medical Necessity.


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