Department of Social Services

Medical Services

The effect of the rule changes will be to update to current coding manuals; update the dental limit for nonemergency services; clarify the podiatry services reimbursement rate; update podiatric coverage to account for metabolic, neurologic or peripheral vascular disease coverage; clarify personal care services provider level determinations; update an age limit to align with school district services coverage; repeal obsolete rules regarding case management which are more appropriately detailed in the coverage and reimbursement chapter of community mental health center (CMHC); update “diabetes education program” terminology to “diabetes self-management training” and clarify diabetes education coverage; update language to allow an Independent Mental Health Practitioner (IMHP) to provide medically necessary treatment with a provisional mental diagnosis to align coverage with CMHC; update substance use disorder definitions; and to changes the ICAP assessment requirements from every 3 years to annually.

New content is added below as the draft rules move through the rule-making process.

Interim Rules Hearing
Important Dates
Public Hearing:
Comment Deadline:
Interim Rules Committee Hearing:
Filed-Secretary of State:
Rule Effective:

Agency Contact: Teresa Schulte mail to: DSSAdminRules@STATE.SD.US