<html> <head> <title>Rule 67:54:04:12 Determining amount of HCBS assistance.</title> <META NAME="Keywords" Content="Administrative Rules 67:54:04:12"> <META NAME="Description" Content="Administrative Rules 67:54:04:12 Determining amount of HCBS assistance."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 14 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; text-align:justify; font-size:12.0pt; font-family:"Times New Roman","serif";} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US> <div class=WordSection1> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b><span style='font-weight:bold'>67:54:04:12.&nbsp;&nbsp;Determining amount of HCBS assistance.</span></b> Payment for HCBS is based on the difference between the participant's income, minus allowable deductions, and the participant's monthly care costs. If the participant meets the requirements of subdivision 67:54:04:03(1), none of the participant's income is credited to the monthly care costs. If the participant meets the requirements of subdivision 67:54:04:03(2), the department applies the following criteria to determine the amount of assistance a participant is eligible to receive from the department to meet the participant's monthly care costs:</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Apply the provisions of chapter 67:46:06, with the exception of &#167;&nbsp;67:46:06:05;</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;If the participant is married, apply the provisions of chapter 67:46:07, with the exception of subdivision 67:46:07:10(1);</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Allow a deduction equal to the supplemental security income (SSI) standard benefit amount for the participant's personal needs; and</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (4)&nbsp;&nbsp;If the participant is employed, allow a deduction of $400 from gross wages.</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The Department of Social Services shall pay its share of the costs directly to the provider agency. The participant is responsible for paying the participant's share directly to the provider agency.</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b><span style='font-weight:bold'>Source:</span></b> 10 SDR 79, effective February 1, 1984; 13 SDR 164, effective May 10, 1987; 15 SDR 2, effective July 17, 1988; 16 SDR 203, effective May 27, 1990; transferred from &#167;&nbsp;67:16:27:12, effective August 23, 1992; 21 SDR 34, effective August 29, 1994; 22 SDR 40, effective September 28, 1995; 26 SDR 150, effective May 21, 2000; SL 2013, ch 128, &#167;&nbsp;8, effective July 1, 2013.</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b><span style='font-weight:bold'>General Authority:</span></b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b><span style='font-weight:bold'>Law Implemented:</span></b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=28-6-1">28-6-1.</A></span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b><span style='font-weight:bold'>Cross-Reference:</span></b> SSI standard benefit amount, &#167;&nbsp;67:46:04:13(2).</span></font></p> <p class=MsoNormal style='punctuation-wrap:simple;text-autospace:none; vertical-align:baseline'><font size=3 face="Times New Roman"><span style='font-size:12.0pt'>&nbsp;</span></font></p> </div> </body> </html>