ARSD 67:16:25:06.01. Transportation services provided by community transportation provider

Community transportation services are covered if the following requirements are met: (1) The transportation provider is a governmental entity, secure medical transportation provider, or registered as a nonprofit organization with the South Dakota Secretary of State; (2) The transportation provider is domiciled in the State of South Dakota or enrolled as a Medicaid transportation provider in the entity or organization's state of domicile; (3) The entity or organization has a signed transportation provider agreement with the department to furnish nonemergency medical transportation to recipients; (4) Transportation is from an eligible recipient's residence or bus stop nearest to the recipient's residence, place of work, or school, to a medical provider; between medical providers; or from a medical provider to the recipient's residence or bus stop nearest to the recipient's residence, place of work, or school. A recipient's residence does not include a hospital, penal institution, detention center, campus setting, nursing facility, an intermediate care facility for individuals with intellectual disabilities, or an institute for the treatment of an individual with a mental disease; (5) Transportation is to or from medically necessary examinations or treatment, if the services are covered under article 67:16 and are provided by a provider who is enrolled or eligible for enrollment in the medical assistance program; and (6) Transportation is to the closest facility or medical provider capable of providing the necessary services, unless the recipient has a written referral or a written authorization from a medical provider in the recipient's medical community.