State of South Dakota

South Dakota Legislature

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Rule 67:16:42 NUTRITIONAL THERAPY AND NUTRITIONAL SUPPLEMENTS

CHAPTER 67:16:42

NUTRITIONAL THERAPY AND NUTRITIONAL SUPPLEMENTS

Section

67:16:42:01        Definitions.

67:16:42:02        Enteral nutritional therapy and nutritional supplements for individual under 21 years of age.

67:16:42:03        Enteral nutritional therapy for individual 21 years of age and older.

67:16:42:04        Enteral nutritional therapy for individual 21 years of age and older -- Prior authorization required.

67:16:42:05        Parenteral nutritional therapy.

67:16:42:06        Parenteral nutritional therapy -- Prior authorization required.

67:16:42:07        Nutritional therapy and nutritional supplements -- Limits.

67:16:42:08        Services not covered.

67:16:42:09        Rate of payment.

67:16:42:10        Cost sharing.

67:16:42:11        Limit on costs.

67:16:42:12        Billing requirements.

67:16:42:13        Claim requirements.

67:16:42:14        Utilization review.

67:16:42:15        Application of other chapters.

Appendix A   List of Procedure Codes and Prices for Enteral Therapy, Oral Nutrition, and Electrolyte Replacement for Individuals Under 21 Years of Age, repealed, 35 SDR 49, effective September 10, 2008.

Appendix B   List of Procedure Codes and Prices for Enteral Therapy for Individuals Age 21 and Older, repealed, 35 SDR 49, effective September 10, 2008.

Appendix C   List of Procedure Codes and Prices for Parenteral Therapy, repealed, 35 SDR 49, effective September 10, 2008.


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