67:45:02:02Payment limits -- Level
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
of care classification. Payment to a nursing facility for services provided to an eligible individual may not be made until the following requirements are met: (1) The individual is eligible under article 67:46; (2) The medical review team has determined that the individual requires the level of care for which payment is being requested; (3) The redetermination of the level of care classification required in § 67:45:01:08 is current; and (4) The facility is able to meet the needs of the individual.
Source: 11 SDR 26, effective August 21, 1984; transferred from § 67:16:04:08.01, 18 SDR 67, effective October 13, 1991; 40 SDR 122, effective January 7, 2014.
General Authority
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions
Law Implemented
- SDCL 28-6-1 ↗Amended by HB1239 (2020) — require the costs of nursing homes to be rebased every five years for purposes oAmended by HB1229 (2019) — require optional services through Medicaid to be authorized through special apprAmended by SB30 (2019) — remove certain unnecessary federal references and dates from certain provisions