South Dakota Administrative Code

67:61:10:03. Rules of general applicability. Each residential facility seeking accreditation or providing services must be licensed pursuant to article 44:78. Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63, effective November 27, 2023. General Authority: SDCL 1-36-25, 3…

67:61:11:01. Purpose and scope of prevention programs. A prevention program must encompass current research, theory, and practice-based strategies and activities, implemented through structured prevention strategies. An agency providing a primary prevention or diversion service s…

67:61:11:02. Prevention program classifications. Prevention programming is divided into the following population classifications: (1) Universal prevention programming, or the following activities targeted to the general public or a whole population that has not been identified on…

67:61:11:03. Description of services provided. A prevention program must offer at least one of the following: (1) Information dissemination services or activities that involve one-way communication from the source to the audience, with limited contact between the two; (2) Educati…

67:61:11:04. Review of materials. The agency's program director shall review and approve all electronic, written, and printed materials, intended for public distribution, for validity, relevancy, and appeal. The public distribution materials and prevention curriculums being imple…

67:61:11:05. Criteria for determining evidence-based intervention. An intervention is determined to be evidence-based if: (1) It is included in a federal list or registry of evidence-based interventions; (2) It is reported positively in a peer-reviewed journal; or (3) There is do…

67:61:11:06. Staff knowledge of resources. The staff of each prevention program shall have knowledge of regional alcohol, drug, mental health promotion, suicide prevention, and recovery support programs available for prevention or treatment services. An agency shall: (1) Maintain…

67:61:11:07. Record of activities. An agency conducting prevention services shall maintain a record of all prevention activities provided in accordance with the described program content. Each record must include: (1) A list of presenters; (2) A list of participants involved usin…

67:61:11:08. Quality assurance and evaluation. An agency shall conduct a quality assurance review of its prevention programming to monitor, protect, and enhance the quality and appropriateness of its programming and to identify qualitative problems and recommend plans for correct…

67:61:12:01. Eligibility criteria. To be eligible for early intervention services a client: (1) May not be at risk of withdrawal; (2) Must have no emotional, behavioral, or cognitive conditions or have very stable biomedical conditions; or either has no or has very stable emotion…

67:61:12:02. Services provided. An early intervention program shall provide: (1) An initial screening and planning that occurs within forty-eight hours of the initial contact and results in the following being recorded in the client's case record: (a) A description of the client'…

67:61:12:03. Reimbursable services. Reimbursable services are limited to face-to-face and telehealth contacts for the purpose of providing services pursuant to§ 67:61:12:02. Reimbursable services for eligible Medicaid clients are limited to services provided under chapter 67:16:4…

67:61:12:04. Nonreimbursable services. The following are nonreimbursable under this chapter: (1) Services that are solely recreational in nature; (2) Time spent preparing paperwork from client assessments or clinical documentation; and (3) Time spent traveling. Source: 43 SDR 80,…

67:61:13:01. Eligibility criteria. To be eligible for an outpatient treatment program: (1) The client must have no or only a minimal risk of severe withdrawal; (2) The client must either have no or very stable biomedical conditions, or be receiving concurrent medical monitoring; …

67:61:13:02. Services provided. The outpatient treatment program shall provide: (1) An integrated assessment, pursuant to § 67:61:07:05; (2) Crisis intervention; (3) Any combination of individual, group, and family counseling providing: (a) Education regarding substance abuse and…

67:61:13:03. Intensity of services. The outpatient treatment program may provide to each client any combination of individual, group, or family counseling services, of any intensity and frequency, as required by the continued service criteria, pursuant to § 67:61:07:07. If counse…

67:61:13:04. Reimbursable services. Reimbursable services are limited to face-to-face and telehealth contacts for the purpose of providing services pursuant to§ 67:61:13:02. Reimbursable services for eligible Medicaid clients are limited to services provided under chapter 67:16:4…

67:61:13:05. Nonreimbursable services. The following are nonreimbursable under this chapter: (1) Driving under the influence and driving while intoxicated education courses; (2) Services that are solely recreational in nature; (3) Time spent preparing paperwork from client assess…

67:61:14:01. Eligibility criteria. To be eligible for intensive outpatient program services: (1) The client must be at minimal risk of severe withdrawal; (2) The client must either have no or very stable biomedical conditions; (3) Any of the client's emotional, behavioral, or cog…

67:61:14:02. Services provided. The intensive outpatient program must provide: (1) An integrated assessment, pursuant to § 67:61:07:05; (2) Crisis intervention; (3) Individual, group, and family counseling providing: (a) Education regarding alcohol and drug abuse and dependence, …

67:61:14:03. Intensity of services. An intensive outpatient program shall provide any combination of individual, group, or family counseling, two or more times per week, to each client. Each adult client must be provided with a minimum of nine hours of these services per week. Ea…

67:61:14:04. Reimbursable services. Reimbursable services are limited to face-to-face and telehealth contacts for the purpose of providing services pursuant to § 67:61:14:02. Reimbursable services for eligible Medicaid clients are limited to services provided under chapter 67:16:…

67:61:14:05. Nonreimbursable services. The following are nonreimbursable under this chapter: (1) Driving under the influence and driving while intoxicated education courses; (2) Services that are solely recreational in nature; (3) Time spent preparing paperwork from client assess…

67:61:15:01. Eligibility criteria. To be eligible for day treatment program services: (1) A client must be experiencing mild withdrawal or be at risk of withdrawal; (2) The client must either have no or very stable biomedical conditions; (3) Any of the client's emotional, behavio…

67:61:15:02. Services provided. The day treatment program shall provide its clients with the following treatment services: (1) An integrated assessment, pursuant to § 67:61:07:05; (2) Individual, group, and family counseling providing: (a) Education regarding alcohol and drug abu…

67:61:15:03. Intensity of services. The day treatment program for adults and adolescents shall provide a minimum of fifteen hours of any combination of individual, group, or family counseling services per week, to each client. A day treatment program for adults shall provide a mi…

67:61:15:04. Reimbursable services. Reimbursable day treatment program services are limited to face-to-face contacts, for the purpose of providing services, pursuant to § 67:61:15:02. Services are reimbursed through a per diem rate and are not eligible to be reimbursed through a …

67:61:15:05. Nonreimbursable services. The following are nonreimbursable under this chapter: (1) Billing for a client that exceeds the accredited bed capacity established by the department for clients residing in a residential day treatment program; (2) Driving under the influenc…

67:61:16:01. Eligibility criteria. To be eligible for clinically-managed, low-intensity residential treatment program services: (1) The client must be at risk of or experiencing minimal withdrawal; (2) The client must have either no or very stable biomedical conditions; (3) The c…

67:61:16:02. Services provided. A clinically-managed, low-intensity residential treatment program must provide: (1) An integrated assessment, pursuant to § 67:61:07:05; (2) Individual, group, and family counseling providing: (a) Education regarding alcohol and drug abuse and depe…

67:61:16:03. Intensity of services. A clinically-managed, low-intensity residential treatment program must provide each client a minimum of five hours of any combination of individual, group, or family counseling each week. Source: 43 SDR 80, effective December 5, 2016; 50 SDR 63…

67:61:16:04. Admission medical examination. A person admitted to a clinically-managed, low-intensity residential treatment program shall have received a medical examination conducted by or under the supervision of a licensed physician, within the three months before admission. Th…

67:61:16:05. Reimbursable services. Reimbursable services are limited to face-to-face contacts for the purpose of providing services pursuant to § 67:61:16:02. Room and board is reimbursed through a per diem rate. Documentation that the client was at the facility at the time of t…

67:61:16:06. Nonreimbursable services. The following are nonreimbursable under this chapter: (1) Billing for a client that exceeds the accredited bed capacity established by the department; (2) Driving under the influence and driving while intoxicated education courses; (3) Servi…

67:61:17:01. Eligibility criteria. To be eligible for clinically-managed, residential detoxification program services: (1) The client must be experiencing signs and symptoms of a withdrawal that is manageable at this level of care; or (2) There must be evidence that withdrawal is…

67:61:17:02. Information required to be obtained at time of admission. An agency admitting a client to a clinically-managed, residential detoxification program must obtain the information required by subdivision 67:61:17:07(1), and record the following observations and informatio…

67:61:17:03. Agreement with hospital for emergency care. An agency shall have a written affiliation agreement, with a licensed hospital serving the area in which the clinically-managed, residential detoxification program is located, for the provision of emergency, inpatient, and …

67:61:17:04. Availability of medical director. An agency's clinically-managed, residential detoxification program must have a written agreement with a licensed physician, physician assistant, or certified nurse practitioner to serve as the medical director, or employ a licensed p…

67:61:17:05. Monitoring and documentation of client's condition. The clinically-managed, residential detoxification program shall establish a policy and procedure concerning the steps staff shall take when assessing and monitoring a client's physical condition and responding to m…

67:61:17:06. Emergency first aid training. Counseling and client supervisory staff of a clinically-managed, residential detoxification program must be certified in emergency first aid and cardiopulmonary resuscitation, and trained to respond to fires and other natural disasters. …

67:61:17:07. Services provided. The clinically-managed, residential detoxification program must provide: (1) Initial assessment and planning within forty-eight hours of admission. The initial assessment must be recorded in the client's case record and describe: (a) The client's c…

67:61:17:08. Intensity of services. A clinically-managed, residential detoxification program shall provide a minimum of thirty minutes of any combination of the services listed in subsections 67:61:17:07(2)(a)(b)(c) and (d), within forty-eight hours of admission, with an addition…

Rule 67:61:17:09 Reimbursable services. 67:61:17:09. Reimbursable services. Reimbursable services are limited to face-to-face contacts for the purpose of providing services pursuant to § 67:61:17:07. Services are reimbursed through a 12 hour unit rate and are not eligible to be r…

67:61:17:10. Nonreimbursable services. The following are nonreimbursable under this chapter: (1) Driving under the influence and driving while intoxicated education courses; (2) Services that are solely recreational in nature; (3) Time spent preparing paperwork from client assess…

67:61:18:01. Eligibility criteria. To be eligible for medically-monitored, inpatient treatment: (1) The client must be experiencing moderate to severe withdrawal or is at risk of severe withdrawal based on previous withdrawal history; the client's continued substance use causes i…

67:61:18:02. Medical evaluations and vital signs. A medically-monitored, inpatient treatment program must meet the following requirements: (1) At the time of admission, each client's blood pressure, pulse, and respiration must be evaluated by staff trained to perform these tests …

67:61:18:03. Availability of medical director. An agency's medically-monitored, inpatient treatment program must have a written agreement with a licensed physician, physician assistant, or certified nurse practitioner to serve as the medical director, or employ a licensed physici…

67:61:18:04. Services provided. The medically-monitored, inpatient treatment program must provide: (1) An integrated assessment, pursuant to § 67:61:07:05; (2) Individual, group, and family counseling providing: (a) Education regarding alcohol and drug abuse and dependence, inclu…

67:61:18:05. Intensity of services. A medically-monitored, intensive inpatient treatment program for adults must provide daily, to each client, a combination of individual, group, or family counseling, which must total a minimum of twenty-one hours per week. The program must prov…

67:61:18:06. Reimbursable services. Reimbursable medically-monitored, intensive inpatient treatment program services are limited to face-to-face contacts for the purpose of providing services, pursuant to § 67:61:18:04. Services are reimbursed through a per diem rate and are not …