<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: center; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4000001 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; 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class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0">CHAPTER </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:03"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000000">67:45:03</span></a></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0"><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4000001"> </span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0">CASE MIX VALIDATION PROCESS</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4000003"> </span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4000003"> </span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">Section</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:01"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:01</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Definitions.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:02"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:02</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Nursing facility to submit assessments to department.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:03"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:03</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Correction to previously submitted resident assessment.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:04"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:04</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        </span><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">Review</span><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004"> to validate resident classifications.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:05"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:05</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Attempt to reconcile differences.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:06"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:06</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        </span><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">C</span><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">onference.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:07"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:07</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Written report of review.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:08"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:08</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Payment adjustment due to review of assessment.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:09"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:09</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Nursing facility to provide resident's clinical record.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:10"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:10</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Record retention.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:11"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:11</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Cases of suspected fraud -- Investigation -- Restitution.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><a href="https://sdlegislature.gov/Rules?Rule=67:45:03:12"><span class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000005">67:45:03:12</span></a><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4C0-000004">        Fair hearing.</span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4000003"> </span></p><p dir="ltr" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4P0-000002"><span xml:space="preserve" class="sfc1ba9c0-c64c-4ea8-9a13-783d2f6ff3f4000003"> </span></p></div></body></html>