67:16:40:20.  Criteria for terminating coverage -- Long-term care hospital unit. An individual's care in a long-term care hospital unit becomes a noncovered service if the care manager determines that the individual meets any of the following criteria:

          (1)  The individual no long requires care in a long-term care hospital unit;

          (2)  The individual meets the requirements for admission to a rehabilitation unit as specified in § 67:16:40:09;

          (3)  The individual meets the requirements for admission to a nursing home as specified in chapter 67:45:01; or

          (4)  The individual has not demonstrated continued functional gains for two weeks.

          Source: 31 SDR 39, effective September 29, 2004.

          General Authority: SDCL 28-6-1.

          Law Implemented: SDCL 28-6-1.