Rule 67:16:42:05 Parenteral nutritional therapy.
67:16:42:05. Parenteral nutritional
therapy. Parenteral nutritional therapy is covered if:
(1) The 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 individuals
with intellectual disabilities, or an institution for individuals with a mental
(2) The 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
(3) There is a physician's order or
prescription for the therapy and medical documentation describing the diagnosis
and the medical necessity for the therapy;
(4) The provider has received prior
approval from the department; and
(5) Parenteral nutritional therapy is
the only means the individual has to receive nutrition.
Source: 22 SDR 32, effective September 11,
1995; 40 SDR 122, effective January 7, 2014; 40 SDR 122, effective January 8,
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
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