<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.s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0 { 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.s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } a.s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000003 { text-decoration: none; } span.s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004 { 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="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:01:03"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000000">67:45:01:03</span></a><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">.  Nursing facility </span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">level of </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">care classification.</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> The </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">department</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> may assign an individual to a nursing facility level of care classification if the individual requires any of the following services:</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000002"> </span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    (1)  Continuing direct care services </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">that</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> have been ordered by a physician and can only be provided by or under the supervision of a </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">licensed</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> nurse. These services include daily management, direct observation, monitoring, or performance of complex nursing procedures. For purposes of this </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">section</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">, continuing </span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">direct </span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">care is repeated application of the procedures or services at least once every </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">twenty-four</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> hours, frequent monitoring, and documentation of the individual's condition and response to the procedures or services;</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000002"> </span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    (2)  The assistance of another person for the performance of any activity of daily living according to an assessment of the individual's needs; or</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000002"> </span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    (3)  </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">S</span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">killed therapeutic services</span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">:</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000002"> </span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">        (a)  </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">Physical therapy, occupational therapy, o</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">r </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">speech-language therapy in any combination that is provided at least once a week;</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">        </span><a id="_Hlk170916480" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000003"></a><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">(b)</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">  </span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">Continuing mental health services provided under chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:62:12"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004">67:62:12</span></a><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> with a documented need for waiver services to prevent nursing facility placement by a staff member who meets the requirements of subdivision </span><a href="https://sdlegislature.gov/Rules?Rule=67:62:06:03"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004">67:62:06:03</span></a><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">(2); or</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">        (c)</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">  </span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">Continuing mental health services provided under chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:62:13"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004">67:62:13</span></a><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> with a documented need for waiver services to prevent nursing facility placement by a staff member who meets the requirements of subdivision </span><a href="https://sdlegislature.gov/Rules?Rule=67:62:06:03"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004">67:62:06:03</span></a><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">(2).</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000002"> </span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    The department must complete a classification assignment for an eligible individual before payment is made for services provided</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">. </span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000002"> </span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">Source:</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> 18 SDR 67, effective October 13, 1991; 27 SDR 32, effective October 11, 2000; 38 SDR 123, effective January 23, 2012</span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">; 51 SDR 13, effect August 12, 2024</span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">.</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">General Authority:</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004">28-6-1</span></a><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">.</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">Law Implemented:</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004">28-6-1</span></a><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">.</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8000002"> </span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">Cross</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001"> </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">Reference</span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">s</span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000001">:</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    </span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">Redetermination of level of care classification, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:01:08"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004">67:45:01:08</span></a><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">.</span></p><p dir="ltr" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8P0"><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">    </span><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">Requirements for staff providing direct services and supports to clients, §</span><span xml:space="preserve" class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:62:06:03"><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0-000004">67:62:06:03</span></a><span class="s3ff91d51-b0f6-4b68-bcd0-487c860d1ae8C0">.</span></p></div></body></html>