aid category

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1 SOUTH DAKOTA MEDICAID AID CATEGORIES Aid Coverage : Limitations: Category Medicaid - Full 10 No limitations specific to aid category. Review Medicaid policies and procedures. Coverage 11 - Full limitations specific to aid category. Review Medicaid No Medicaid policies and procedures. Coverage - 12 Full Medicaid No limitations specific to aid category. Review Medicaid policies and procedures. Coverage 13 Medicaid - Full ry. Review Medicaid No limitations specific to aid catego Coverage policies and procedures. - 15 Full Medicaid No limitations specific to aid category. Review Medicaid policies and procedures. Coverage 16 Medicaid - Full No limitations specific to aid category. Review Medicaid policies and procedures. Coverage 20 Medicaid - Full No limitations specific to aid category. Review Medicaid Coverage policies and procedures. Full No limitations specific to aid category. Review Medicaid 21 Medicaid - Coverage policies and procedures. No limitations specific to aid category. Review Medicaid - Full Medicaid 22 Coverage policies and procedures. 23 - Full No limitations specific to aid category. Review Medicaid Medicaid policies and procedures. Coverage 30 - Full o aid category. Review Medicaid Medicaid No limitations specific t Coverage policies and procedures. 31 Medicaid - Full No limitations specific to aid category. Review Medicaid Coverage policies and procedures. 32 No limitations specific to aid category. Review Medicaid Medicaid - Full Coverage policies and procedures. Medicaid - Full No limitations specific to aid category. Review Medicaid 33 policies and procedures. Coverage No limitations specific to aid category. Review Medicaid - Full 35 Medicaid Coverage policies and procedures. Full No limitations specific to aid category. Review Medicaid Medicaid - 36 Coverage policies and procedures. No limitations specific to aid category. Review Medicaid 37 Medicaid - Full policies and procedures. Coverage Last Updated October 2017

2 SOUTH DAKOTA MEDICAID AID CATEGORIES 38 - Full Medicaid No limita tions specific to aid category. Review Medicaid policies and procedures. Coverage - 40 Full No limitations specific to aid category. Review Medicaid Medicaid policies and procedures. Coverage Medicaid Full 41 - No limitations specific to aid category. Review Medicaid policies and procedures. Coverage Medicaid Full No limitations specific to aid category. Review Medicaid 43 - policies and procedures. Coverage 45 - Full Medicaid No limitations specific to aid category. Review Medicaid policies and Coverage procedures. Medicaid Full 46 - No limitations specific to aid category. Review Medicaid policies and procedures. Coverage Medicaid - 47 Limited Postpartum services and family planning services only Coverage - Full 53 Medicaid No limitations sp ecific to aid category. Review Medicaid Coverage policies and procedures. No limitations specific to aid category. Review Medicaid Full 54 Medicaid - Coverage policies and procedures. Medicaid Full 57 - No limitations specific to aid category. Review Medicaid policies and procedures. Coverage Medicaid - Full No limitations specific to aid category. Review Medicaid 67 policies and procedures. Coverage 71 Qualified Medicare Pays the copayment and deductible on Medicare A and services only Medicare B covered Beneficiary Special Low - Income 72 No Medicaid Coverage Beneficiary Program 73 Pays the copayment and deductible on Medicare A and Qualified Medicare Beneficiary Medicare B covered services only Special Low - Income No Medicaid 74 Coverage Beneficiary Program Medicaid - Full 75 No limitations specific to aid category. Review Medicaid Coverage policies and procedures. Full 76 Medicaid - No limitations specific to aid category. Review Medicaid Coverage policies and procedures. - Partum exam and family 77 Medicaid - Limited Prenatal Care, Labor/Delivery, Post Coverage planning. Other medical conditions which are caused by the Last Updated October 2017

3 SOUTH DAKOTA MEDICAID AID CATEGORIES pregnancy may be covered and would require medical documentation 78 Medicaid - Full category. Review Medicaid No limitations specific to aid policies and procedures. Coverage 79 CHIP: Limited Prenatal Care and Labor/Delivery Coverage Renal Program Dialysis, hospitalization for transplant, supplies, equipment, 80 and water softeners necessary for home dialysis, prescription dr ugs necessary for dialysis or transplant and travel expenses to and from renal treatment. Renal program recipients have a Medicaid maximum of $5,000 per fiscal year. 86 Qualified Medicare No Medicaid Coverage Individual 87 No Medicaid Coverage Qualified Medicare Individual Full 90 No limitations specific to aid category. Review Medicaid - Medicaid policies and procedures. Coverage Last Updated October 2017

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