ARSD 67:16:48:03
ARSD 67:16:48:03. Services not covered
Cite as S.D. Admin. R. 67:16:48:03
The following services are not covered under the provisions of this chapter:
(1) Treatment for a diagnosis of substance use disorder that exceeds the limits established by the division, unless prior authorization is approved by the division;
(2) Out-of-state substance use disorder treatment unless the division determines that appropriate in-state treatment is not available;
(3) Treatment for a gambling disorder;
(4) Room and board for residential services;
(5) Substance use disorder treatment before the integrated assessment is completed;
(6) Substance use disorder treatment after 30 days if the treatment plan has not been completed;
(7) Substance use disorder treatment if a required review has not been completed;
(8) Court appearances, staffing sessions, or treatment team appearances; and
(9) Substance use disorder services provided to a recipient incarcerated in a correctional facility.