67:54:05:04Determination of need for nursing facility
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
care. The utilization control team shall establish an individual's need for nursing facility care by reviewing the individual's medical, nursing, social, and mental health needs. The individual must require professional nursing services in addition to the provision of or assistance with personal care activities or medications. The utilization control team shall, at least annually, redetermine whether or not the individual continues to need nursing facility care for a mental disease.
Source: 20 SDR 170, effective April 18, 1994.
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