South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:16 - Covered medical services › Chapter 67:16:41 - Mental health services by independent practitioners › Section 67:16:41:01 - Definitions

Current through Register Vol. 51, page 10, July 15, 2024
As used in this chapter:
(1)
  "Certified social worker - private, independent practice" means an individual
  certified under SDCL
  36-26-17;
(2) "Certified social worker - private,
  independent practice candidate" means an individual as defined in §
									20:59:01:01 who is licensed as a
  certified social worker under SDCL
  36-26-14 and is working toward
  becoming a certified social worker - PIP under an approved supervision
  agreement as required by §
									20:59:05:05;
(3) "Clinical nurse specialist" means an
  individual who is licensed under SDCL
  36-9-85 to perform the functions
  contained in SDCL
  36-9-87;
(4) "Collateral contact" means telephone or
  face-to-face contact with an individual other than the recipient receiving
  treatment to plan appropriate treatment, to assist others in responding
  therapeutically regarding the recipient's difficulty or illness, or to link the
  recipient, family, or both to other necessary and therapeutic community
  support;
(5) "Diagnostic
  assessment" means a written comprehensive evaluation of a set of symptoms which
  indicate a diagnosis of a mental disorder and which meet the requirements of
  §
									67:16:41:04;
(6) "Family" means a unit of two or more
  persons related by blood or by past or present marriage. A family may also
  include other individuals living either in the same household with the
  recipient, individuals who will reside in the home in the future, or
  individuals who reside elsewhere only if the individual's participation is
  necessary to accomplish treatment plan goals and are considered an essential
  and integral part of the family unit identified in the treatment
  plan;
(7) "Group" means a unit of
  at least two but no more than ten individuals who, because of the commonality
  and the nature of their diagnoses, can derive mutual benefit from psychotherapy
  and it can be demonstrated to be medically necessary for the individuals to
  jointly participate in order to accomplish treatment plan goals through a group
  psychotherapy session;
(8)
  "Licensed professional counselor - mental health" means an individual certified
  under SDCL
  36-32-41 to
  36-32-43, inclusive;
(9) "Licensed professional counselor working
  toward a mental health designation" means an individual who is licensed as a
  licensed professional counselor under SDCL 3632-13 and is working toward a
  mental health designation under the supervision required by SDCL
  36-32-42;
(10) "Licensed marriage and family therapist"
  means an individual licensed under SDCL
  36-33-9 or
  36-33-18;
(11) "Mental disorder" means an organic
  disorder of the brain or a clinically significant disorder of thought, mood,
  perception, orientation, or behavior;
(12) "Mental health services" means
  nonresidential psychiatric or psychological diagnostic and treatment that is
  goal-oriented and designed for the care and treatment of an individual having a
  primary diagnosis of a mental disorder;
(13) "Mental health treatment" means
  goal-oriented therapy designed for the care and treatment of an individual
  having a primary diagnosis of a mental disorder;
(14) "Psychologist" means for services
  provided in South Dakota, a person licensed under SDCL
  36-27A-12 or
  36-27A-13; for services provided
  in another state, a person licensed as a psychologist in the state where the
  services are provided. For purposes of the medical assistance program, a person
  practicing under SDCL
  36-27A-11 is specifically
  excluded;
(15) "Psychotherapy"
  means the face-to-face or telehealth treatment of a recipient through a
  psychological or psychiatric method. The treatment is a planned, structured
  program based on a primary diagnosis of mental disorder and is directed to
  influence and produce a response for a mental disorder and to accomplish
  measurable goals and objectives specified in the recipient's individual
  treatment plan;
(16) "Psychotherapy
  session" means a planned and structured face-to-face or telehealth treatment
  episode between a mental health provider and one or more recipients;
(17) "Telehealth," means a method of
  delivering services including interactive audio-visual or audio-only
  technology, in accordance with SDCL
  34-52-1; and
(18) "Treatment plan" means a written,
  individual, and comprehensive plan which is based on the information and
  outcome of the recipient's diagnostic assessment and which is designed to
  improve the recipient's mental disorder.
General Authority:
SDCL
		28-6-1(1)(2)(4).
Law Implemented:
SDCL
		28-6-1.