<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.s67afd974-2313-40f3-b759-a1c9d1809b87P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s67afd974-2313-40f3-b759-a1c9d1809b87C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s67afd974-2313-40f3-b759-a1c9d1809b87C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s67afd974-2313-40f3-b759-a1c9d1809b87C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s67afd974-2313-40f3-b759-a1c9d1809b87000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s67afd974-2313-40f3-b759-a1c9d1809b87C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:24:03"><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000000">67:16:24:03</span></a><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000001">.  Services covered.</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> Personal care services are medically necessary services contained in the recipient's case service plan and provided in the recipient's residence. </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">Only the following p</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">ersonal care services </span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">are </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">covered:</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87000002"> </span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    (1)  Basic personal care and grooming, including bathing, shaving, dressing, and assisting the recipient with hair and teeth care;</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    (2)  Assistance with bladder or bowel requirements, </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">but not including the</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> administration of a bowel program;</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    (3)  </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">Assistance</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> with medications </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">that</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> are ordinarily self-administered;</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    (4)  Assistance with food, nutrition, and diet activities</span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">,</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> if they are incidental to a medical need;</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    (5)  </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">H</span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">ousehold services related to a medical need</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> and</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> essential to the patient's health and comfort; </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">and</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    (6)  Maintenance nursing</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> prescribed by a physician</span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">.</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87000002"> </span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">Personal care services must be delivered by a licensed nurse, if required in accordance with</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9"><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000003">36-9</span></a><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">.</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87000002"> </span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    For purposes of this </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">section</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">, a recipient's residence does not include a hospital, penal institution, detention center, school, nursing facility, assisted living center, congregate facility where services are available, other types of group settings, intermediate care facility for individuals with intellectual disabilities, or an institution </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">that</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> treats individuals </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">having</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> mental diseases.</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87000002"> </span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000001">Source:</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> 5 SDR 109, effective July 1, 1979; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 16 SDR 235, effective July 5, 1990; 20 SDR 170, effective April 18, 1994; 23 SDR 92, effective December 10, 1996; 28 SDR 96, effective December 30, 2001; 40 SDR 122, effective January 8, 2014</span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">; 44 SDR 94, effective December 4, 2017</span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">; 49 SDR 21, effective September 12, 2022</span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">.</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000001">General Authority:</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000003">28-6-1</span></a><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">.</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000001">Law Implemented:</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000003">28-6-1</span></a><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">(1)(2)</span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">.</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87000002"> </span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">    </span><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000001">Cross-References:</span><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0"> Covered services must be medically necessary, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:01:06.02"><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000003">67:16:01:06.02</span></a><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">; Practices not prohibited by chapter, SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-28"><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0-000003">36-9-28</span></a><span class="s67afd974-2313-40f3-b759-a1c9d1809b87C0">.</span></p><p dir="ltr" class="s67afd974-2313-40f3-b759-a1c9d1809b87P0"><span xml:space="preserve" class="s67afd974-2313-40f3-b759-a1c9d1809b87000002"> </span></p></div></body></html>