ARSD 67:16:03:02. Inpatient hospital services covered

The following inpatient hospital services covered under the medical assistance program are available to eligible individuals: (1) Semiprivate room accommodations and board. Private rooms are covered when justified by a statement of medical necessity from the attending physician or other licensed practitioner; (2) Regular nursing services routinely furnished by a hospital; (3) Supplies, such as splints and casts, and use of appliances and equipment, such as wheelchairs, crutches, and prostheses; (4) Whole blood or packed red cells; (5) Diagnostic services; (6) Therapeutic services; (7) Operating and delivery rooms; (8) Drugs and biologicals ordinarily furnished by the hospital; (9) Medical social services; (10) Services of hospital residents and interns who are in approved training programs; (11) Dialysis treatments; (12) Services of hospital-based physicians or other licensed practitioners; (13) Sterilizations authorized under § 67:16:02:09; (14) Hysterectomies authorized under 42 C.F.R. §§ 441.250 to 441.259, inclusive (as amended to April 1, 2017); and (15) Services listed on the department's prior authorization website if authorized under § 67:16:03:02.01.