Rule 67:45:01:02 Medical review team to determine level of care.
67:45:01:02. Medical review team to determine level of care.
The medical review team must determine if the individual requesting long-term
care assistance under article 67:46 is in need of care. The need for care is
established by reviewing the individual's medical, nursing, and social needs.
Consideration shall also be given to those alternative services available for
the individual in the community. Based on the need, the medical review team
shall assign the individual to one of the following level of care
classifications:
(1) Nursing
facility care;
(2) Adult
foster care;
(3) Assisted
living; or
(4) Self-care.
Source: SL 1975, ch 16, § 1; 1 SDR 30, effective
October 13, 1974; 2 SDR 71, effective April 29, 1976; 7 SDR 66, 7 SDR 89,
effective July 1, 1981; 10 SDR 79, effective February 1, 1984; transferred from
§ 67:16:04:03, 18 SDR 67, effective October 13, 1991; 27 SDR 32, effective
October 11, 2000.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
Cross-References: Payment limits -- Level of care
classification, § 67:45:02:02; Redetermination of level of care
classification, § 67:45:01:08.
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67:45:01:02 