<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.sc4f367da-c873-4caa-88e8-c0d07c835390P0 { 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.sc4f367da-c873-4caa-88e8-c0d07c835390C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc4f367da-c873-4caa-88e8-c0d07c835390C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc4f367da-c873-4caa-88e8-c0d07c835390C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc4f367da-c873-4caa-88e8-c0d07c835390000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc4f367da-c873-4caa-88e8-c0d07c835390C0-000003 { 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="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:01:08"><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000000">67:45:01:08</span></a><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000001">.  Redetermination of level of care classification.</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> The </span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">department shall</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> annually redetermine an individual's level of care classification</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> assignment</span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">.</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390000002"> </span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">    A redetermination may be made at more frequent intervals if a redetermination is warranted due to a change in the </span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">individual</span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">'s mental or physical condition.</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390000002"> </span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">    If it is determined that the individual does not need</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> a</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> nursing facility</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> level of</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> care</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> or an intermediate level of care</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">, the department </span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">must</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> notify the individual and the facility</span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">, if applicable</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">. The facility </span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">shall</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> document this notice in the individual's record.</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390000002"> </span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">    </span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000001">Source:</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> 2 SDR 74, effective May 13, 1976; 7 SDR 66, 7 SDR 89, effective July 1, 1981; 9 SDR 11, effective August 1, 1982; transferred from § 67:16:18:14, 18 SDR 67, effective October 13, 1991; 22 SDR 16, effective August 17, 1995; 23 SDR 92, effective December 10, 1996; 26 SDR 21, effective August 24, 1999; 38 SDR 123, effective January 23, 2012; 40 SDR 122, effective January 8, 2014</span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">; 51 SDR 13, effective August 12, 2024</span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">.</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">    </span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000001">General Authority:</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000003">28-6-</span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000003">1</span></a><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">.</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">    </span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000001">Law Implemented:</span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000003">28-6-1</span></a><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">.</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390000002"> </span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">    </span><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000001">Cross-References:</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000001">    </span><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">Assistance when nursing facility unable to meet individual's need -- Individual assigned to self-care -- Payment limits, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:02:08"><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000003">67:45:02:08</span></a><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">.</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">    Assistance when need is intermediate care for individuals with intellectual disabilities or intermediate care for the mentally disabled -- Payment limits, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:45:02:09"><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0-000003">67:45:02:09</span></a><span class="sc4f367da-c873-4caa-88e8-c0d07c835390C0">.</span></p><p dir="ltr" class="sc4f367da-c873-4caa-88e8-c0d07c835390P0"><span xml:space="preserve" class="sc4f367da-c873-4caa-88e8-c0d07c835390000002"> </span></p></div></body></html>