Rule 67:16:42:05 Parenteral nutritional therapy.
67:16:42:05. Parenteral nutritional therapy.
Parenteral nutritional therapy is covered if all of the following conditions
individual is not institutionalized and services are delivered in the
individual's residence. For purposes of this rule, an individual's residence
does not include an acute care hospital, a nursing facility, an intermediate
care facility for the mentally retarded, or an institution for individuals with
a mental disease;
individual has a permanently inoperative internal body organ or an inoperative
body function such as severe pathology of the alimentary tract which does not
allow absorption of sufficient nutrients to maintain weight and strength
commensurate with the individual's general condition;
is a physician's order or prescription for the therapy and medical
documentation describing the diagnosis and the medical necessity for the
provider has received prior approval from the department; and
nutritional therapy is the only means the individual has to receive nutrition.
Source: 22 SDR 32, effective September 11, 1995.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
Back to 67:16:42