<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.s544247bb-ffa8-48d1-8cef-70723733542eP0 { 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.s544247bb-ffa8-48d1-8cef-70723733542eC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s544247bb-ffa8-48d1-8cef-70723733542eC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s544247bb-ffa8-48d1-8cef-70723733542eC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s544247bb-ffa8-48d1-8cef-70723733542eC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s544247bb-ffa8-48d1-8cef-70723733542e000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:01:02"><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000000">67:45:01:02</span></a><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001">.  </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001">Department</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001"> to determine level of care.</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> If an assessment of the individual indicates waiver services are applicable, the department must determine if the individual requesting long-term care assistance under article </span><a href="https://sdlegislature.gov/Rules?Rule=67:46"><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000002">67:46</span></a><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> is in need of care. The need for care is established by reviewing the individual's medical, nursing, and social needs. </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">The department shall also consider</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> alternative services available for the individual in the community. Based on </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">an individual's</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> need</span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">s</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">, the </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">department</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> shall assign one of the following:</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542e000003"> </span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    (1)  Nursing facility</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> level of</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> care</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> classification</span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">;</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    (2)  Intermediate level of care classification</span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">; or</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    (</span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">3</span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">)  Self-care</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> level of</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> care</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> classification</span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">.</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542e000003"> </span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001">Source:</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> SL 1975, ch 16, § 1; 1 SDR 30, effective October 13, 1974; 2 SDR 71, effective April 29, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 10 SDR 79, effective February 1, 1984; transferred from § </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:04:03"><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000002">67:16:04:03</span></a><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">, 18 SDR 67, effective October 13, 1991; 27 SDR 32, effective October 11, 2000</span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">; 51 SDR 13, effective August 12, 2024</span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">.</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001">General Authority:</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000002">28-6-1</span></a><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">.</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001">Law Implemented:</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000002">28-6-1</span></a><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">.</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542e000003"> </span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001">Cross</span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001"> </span><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000001">References:</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    </span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">Redetermination of level of care classification, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:01:08"><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000002">67:45:01:08</span></a><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">.</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">    </span><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542eC0">Payment limits -- Level of care classification, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:02:02"><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0-000002">67:45:02:02</span></a><span class="s544247bb-ffa8-48d1-8cef-70723733542eC0">.</span></p><p dir="ltr" class="s544247bb-ffa8-48d1-8cef-70723733542eP0"><span xml:space="preserve" class="s544247bb-ffa8-48d1-8cef-70723733542e000003"> </span></p></div></body></html>