South Dakota · Regulations
Chapter 67:16:02 — Physician and other health services
39 sections
39 sections
- ARSD 67:16:02:01ARSD 67:16:02:01. Definitions
- ARSD 67:16:02:01.01ARSD 67:16:02:01.01. Fee schedules for physician services
- ARSD 67:16:02:02ARSD 67:16:02:02. Provider agreementRepealed
- ARSD 67:16:02:03ARSD 67:16:02:03. Rate of payment
- ARSD 67:16:02:03.01ARSD 67:16:02:03.01. Reimbursement for multiple surgeries
- ARSD 67:16:02:03.02ARSD 67:16:02:03.02. Reimbursement for services containing modifier codes
- ARSD 67:16:02:03.03ARSD 67:16:02:03.03. Required modifier codes
- ARSD 67:16:02:04ARSD 67:16:02:04. Physician's services covered
- ARSD 67:16:02:05ARSD 67:16:02:05. Other health services covered
- ARSD 67:16:02:05.01ARSD 67:16:02:05.01. Physical therapy services covered
- ARSD 67:16:02:05.02ARSD 67:16:02:05.02. Breast reductions covered -- Prior authorization requiredRepealed
- ARSD 67:16:02:05.03ARSD 67:16:02:05.03. Clozaril therapy -- LimitsRepealed
- ARSD 67:16:02:05.04ARSD 67:16:02:05.04. Documentation required before authorization givenRepealed
- ARSD 67:16:02:05.05ARSD 67:16:02:05.05. Requirements for monitoring clozaril therapyRepealed
- ARSD 67:16:02:05.06ARSD 67:16:02:05.06. Requirements when clozaril therapy discontinued or suspendedRepealed
- ARSD 67:16:02:05.07ARSD 67:16:02:05.07. Requirements for augmentative communication deviceRepealed
- ARSD 67:16:02:05.08ARSD 67:16:02:05.08. Requirements for hyperbaric oxygen therapyRepealed
- ARSD 67:16:02:05.09ARSD 67:16:02:05.09. Prior authorization for hyperbaric oxygen therapyRepealed
- ARSD 67:16:02:05.10ARSD 67:16:02:05.10. Breast reconstructionRepealed
- ARSD 67:16:02:05.11ARSD 67:16:02:05.11. Noninvasive bone-growth stimulationRepealed
- ARSD 67:16:02:05.12ARSD 67:16:02:05.12. Cochlear implant -- Prior authorization requiredRepealed
- ARSD 67:16:02:05.13ARSD 67:16:02:05.13. Hyperbaric oxygen therapy for individual with diabetesRepealed
- ARSD 67:16:02:05.14ARSD 67:16:02:05.14. Hyperbaric oxygen therapy -- Individual with diabetes -- Course of standard wound careRepealed
- ARSD 67:16:02:05.15ARSD 67:16:02:05.15. Occupational therapy
- ARSD 67:16:02:06ARSD 67:16:02:06. Health services not covered
- ARSD 67:16:02:07ARSD 67:16:02:07. Utilization review for physician, laboratory, and X-ray services
- ARSD 67:16:02:08ARSD 67:16:02:08. Utilization review for transportation servicesRepealed
- ARSD 67:16:02:09ARSD 67:16:02:09. Sterilization
- ARSD 67:16:02:10ARSD 67:16:02:10. Refractions and eyeglasses
- ARSD 67:16:02:11ARSD 67:16:02:11. Cost sharingRepealed
- ARSD 67:16:02:12ARSD 67:16:02:12. Transferred to §§ 67:16:29:02 and 67:16:29:05Transferred
- ARSD 67:16:02:13ARSD 67:16:02:13. Audiological and speech pathology services
- ARSD 67:16:02:14ARSD 67:16:02:14. Reimbursement for services provided by nurse midwife or nurse anesthetist
- ARSD 67:16:02:15ARSD 67:16:02:15. Reimbursement for services provided by nurse practitioner, clinical nurse specialist, or physician assistant
- ARSD 67:16:02:16ARSD 67:16:02:16. Billing requirements -- Modifier codes -- Provider identification numbers
- ARSD 67:16:02:16.01ARSD 67:16:02:16.01. Billing requirements -- Implantable contraceptive capsules and obstetrical services
- ARSD 67:16:02:17ARSD 67:16:02:17. Claim requirements
- ARSD 67:16:02:18ARSD 67:16:02:18. Certain services exempt from diagnosis code requirementsRepealed
- ARSD 67:16:02:19ARSD 67:16:02:19. Application of other chapters