State of South Dakota

South Dakota Legislature

Administrative Rules

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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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