ARSD 67:16:05:05.01. Service restrictions

Home health services must: (1) Be provided by a home health agency employee who is qualified to perform the required service; (2) Be prescribed by the attending physician or other licensed practitioner and contained in the home health agency's written plan of care; (3) Be provided at the individual's place of residence, which does not include a hospital, penal institution, detention center, school, nursing facility, intermediate care facility for individuals with intellectual disabilities, or an institution that treats individuals for mental diseases; and (4) Be provided intermittently but not more than once a day and no more frequently than five days a week, except as specified by subdivision 67:16:05:05(4). If Medicare denies payment for a service because there is no medical necessity, the individual is ineligible for services under this chapter.