<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.s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0 { 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.s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003 { 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="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:04:06"><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000000">67:54:04:06</span></a><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000001">.  Preplacement assessment.</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> Before </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">home and community-based services (</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">HCBS</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">)</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">are</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> approved for an individual, the proposed HCBS provider shall complete an </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">Integrated Case-Based Applied Pathology (</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">ICAP</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">)</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">. The ICAP </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">must</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> indicate a substantial functional limitation</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">,</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> in at least three of the seven areas listed in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:03:04"><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000002">67:54:03:04</span></a><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">. The proposed HCBS provider shall submit the ICAP to the Division of Developmental Disabilities, Department of Human Services, using the ICAP Compuscore software. The </span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">provider shall submit this data to the </span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">division </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">upon the initiation of HCBS annually on</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> January 15</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"><sup>th</sup></span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">, and as changes occur.</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> For an individual's record to be valid, the evaluation date may not be more than </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">13</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> months old.</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    No deficit exists if the following criteria are met:</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    (1)  Self care: The personal living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:03"><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000002">67:54:03</span></a><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> and, </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">in the case of an individual who is</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> four years of age</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> or older, there are no</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> arm</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> or </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">hand limitations in daily activities;</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    (2)  Language: The social and communication skills domain score exceeds the age-related criterion in Appendix A at the end of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:03"><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000002">67:54:03</span></a><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> and, </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">in the case of an individual who is four years or age or older, the individual is able to speak</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">;</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    (3)  Learning/cognition: The individual does not have an intellectual disability;</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    (4)  Mobility: The individual </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">is able to walk</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> and, </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">in the case of an individual who is four years of age or older, no mobility assistance is needed</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">;</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    (5)  Self-direction: The general maladaptive index is in the normal range , the individual's community living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:03"><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000002">67:54:03</span></a><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">, and there is no psychiatric diagnosis;</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    (6)  Independent living: The individual's community living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:54:03"><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000002">67:54:03</span></a><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> and, </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">in the case of an individual who is 18 years of age or older, the recommended residential placement is "independent in own home or rental unit"</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">; and</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    (7)  Economic self-sufficiency: The individual's recommended daytime program is "competitive employment."</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    A substantial </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">functional limitation</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> is present if the preceding criteria are not met.</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000001">Source:</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> 10 SDR 79, effective February 1, 1984; 15 SDR 154, effective April 9, 1989; transferred from § 67:16:27:06, effective August 23, 1992; 21 SDR 34, effective August 29, 1994; 22 SDR 188, effective July 8, 1996; 26 SDR 150, effective May 21, 2000; SL 2013, ch 128, § 4, effective July 1, 2013; 40 SDR 122, effective January 8, 2014</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">; 45 SDR 82, effective December 10, 2018</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">; 49 SDR 21, effective September 12, 2022</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">.</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000001">General Authority:</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000002">28-6-1</span></a><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">.</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000001">Law Implemented:</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000002">28-6-1</span></a><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">(1)(4)(6)</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">.</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">    </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000001">Reference:</span><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0"> </span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0-000001">Inventory for Client and Agency Planning (ICAP)</span><span class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aC0">, 1986, published by Riverside Publishing Company, 425 Spring Lake, Itasca, Illinois 60134-2079; 25 response booklets $45.</span></p><p dir="ltr" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267aP0"><span xml:space="preserve" class="s94efc9c4-1ef4-4e60-9cf7-b0d3e6ab267a000003"> </span></p></div></body></html>