<html> <head> <title>Rule 67:16:05:01 Definition of terms.</title> <META NAME="Keywords" Content="Administrative Rules 67:16:05:01"> <META NAME="Description" Content="Administrative Rules 67:16:05:01 Definition of terms."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>67:16:05:01.&nbsp;&nbsp;Definition of terms.</b> Terms</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> as</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> used i</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>n</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> this chapter:</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;&quot;Attending physician</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> or other licensed practitioner</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'>&quot;</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'> the individual's personal private physician</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> or other licensed practitioner</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> or a physician</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> or other licensed practitioner</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'> assigned to care for the individual in the absence of a personal private physician</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'> or other licensed practitioner</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;&quot;Custodial care&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> services that do not require nursing supervision and are designed to assist an individual perform the activities of daily living;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;&quot;Home health agency&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> an organization </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>that</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> is primarily engaged in providing skilled nursing, medical social services, or home health aide services and which meets the requirements of a home health agency under 42 C.F.R. &#167;&#167;&nbsp;484.1 </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>through</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> 484.</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>11</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>5, inclusive (</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>June</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> 1</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>9</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>, 20</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>2</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>0). This does not include an agency or organization whose function is primarily the care and treatment of mental illness;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;&quot;Home health aide services&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> those nursing-related services not required to be performed by a licensed health professional but prescribed by a licensed physician </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>or other licensed practitioner </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>and provided on an intermittent basis;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (5)&nbsp;&nbsp;&quot;Home health services&quot; or &quot;service</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'>s</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'>&quot;</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'> skilled nursing services, medical social services, or home health aide services provided by a home health agency;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (6)&nbsp;&nbsp;&quot;Medical social services&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> those services </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>that</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> contribute to the treatment of a patient's physical condition and are needed because social problems exist</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>,</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> which impede the effective treatment of the patient's medical condition or the patient's rate of recovery;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (7)&nbsp;&nbsp;&quot;Plan of care&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> the plan developed by the home health agency in response to the physician</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> or other licensed practitioner's</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> written orders to the agency prescribing the needed services and the duration of those services;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (8)&nbsp;&nbsp;&quot;Postpartum services&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> skilled nursing services following a child's birth;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (9)&nbsp;&nbsp;&quot;Skilled nursing services&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> those nursing services defined in SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=36-9-3">36-9-3</A> </span><span style='font-size: 12.0pt;font-family:"Times New Roman",serif'>and</span><span style='font-size: 12.0pt;font-family:"Times New Roman",serif'> provided on a part-time or intermittent basis;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (10)&nbsp;&nbsp;&quot;Therapy services&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> physical, respiratory, occupational, and speech therapy services provided by </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>a</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> home health agency either directly or </span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'>through a</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'> contract with a qualified therapist acting within the therapist's scope of practice; and</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (11)&nbsp;&nbsp;&quot;Visit&quot;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> means</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> one encounter with a recipient for the purpose of delivering home health services.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> SL 1975, ch 16, &#167;&nbsp;1; 1 SDR 30, effective October 13, 1974; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 111, effective January 7, 1990; 16 SDR 233, effective July 1, 1990; 18 SDR 203, effective July 1, 1992; 33 SDR 137, effective March 7, 2007; 47 SDR 38, effective October 6, 2020.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1</A></span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>(1)(2)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html>