ARSD 67:16:48:08. Treatment for a substance use disorder -- Out-of-state

Out-of-state treatment for a substance use disorder is limited to those services provided in a facility which is licensed or accredited in another state as a substance use disorder treatment facility. Treatment is covered if the following additional requirements are met: (1) An addiction counselor within that state completes an integrated assessment and sends the completed assessment to the division. The assessment must include a biopsychosocial history with appropriate testing instrument scores, indicate a diagnosis of a substance use disorder, and contain the credentials of the counselor completing the assessment; (2) For intensive inpatient treatment or psychiatric residential treatment, a physician or other licensed practitioner refers the recipient for placement in, transfer to, or continued stay in a substance use disorder treatment program; (3) The division authorizes the treatment, and no appropriate in-state treatment is available; and (4) The psychiatric residential treatment provided meets the prior authorization requirements found in § 67:16:48:06. Out-of-state outpatient services do not require prior authorization when provided within 50 miles of the South Dakota border.