<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.s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0 { 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.s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000003 { 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="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=46:11:08:01"><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000000">46:11:08:01</span></a><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000001">.  Description of services.</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> CHOICES waiver services </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">must</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> be tailored to the preferences and priorities of each participant. Each participant must receive at least one of the following waiver services each month:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    (1)  Case management to include:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (a)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Developing the individualized </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">service</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> plan (ISP) utilizing the state's standardized</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> ISP;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">(b)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Promoting and documenting participant involvement in the ISP monitoring process;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (c)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Documenting the </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">ISP </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">team meeting and making sure scheduling facilitates participation</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">of all members;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (d)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Observing, monitoring, and documenting the implementation of the ISP at least</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">quarterly;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (e)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Meeting minimally, for one face-to-face visit per quarter with each participant;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (f)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Ensuring implementation and revisions of the ISP;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (g)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Reviewing critical incident reports;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (h)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Reviewing instances of abuse</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">, </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">neglect</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">, or </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">exploitation</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">,</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> participant health and</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">safety</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">,</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> or other pertinent information</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (i)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Submitting monthly quality reports summarizing case management activities;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (j)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Assisting participants in finding paid and unpaid natural supports;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (k)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Arranging, reviewing, and approving assessments;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">l</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Administering the inventory for client and agency planning (ICAP):</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (m)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Conducting person centered planning;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (n)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Assisting participants in selecting services and supports;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (o)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Assisting participants to identify individual budgets;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (p)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Assessing individual eligibility status and referring individuals to necessary</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">eligibility resources;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (q)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Assisting individuals to access integrated community employment;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (r)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Ensuring </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">the </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">human rights committee </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> or the </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">behavior </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">support</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> committee</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">,</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">or both, </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">has afforded due process; and</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (s)</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Developing emergency backup plans in the event the case manager is out of the</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">office or is unavailable when the participant or the</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> participant's</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> family is in need of case management</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">services</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    (2)  Day </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">services</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> to include:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (a)  Services to assist the</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">participant to ga</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">in</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> opp</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">ort</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">unities for meaningful life experiences, in coordination with the</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">participant's personal goals and supports, and agreed upon by the ISP team;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (b)  Services not limited to fixed site facilities;</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> and</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (c)  Services </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">that pay no wages for participation in activities</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    (3)  </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">Career exploration</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> to include:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (a)  Services that are designed to assist participants in identifying and developing</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">skills that prepare them for integrated competitive jobs and compensation at or above minimum</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">wage, but not less than customary wage and level of benefits paid by the employer for similar</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">work performed by employees without disabilities;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (b)  Services that are </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">time limited</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">; </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">and</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (c)  Services intended to result in paid employment and work experience to further career development and individual integrated community-based employment;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    (4)  Residential habilitation to include:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (a)  Services provided to a participant living in the</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> participant's</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> own home, including </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">a participant</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> living with other family members; and</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (b)  Assistance with acquisition, retention, or improvement in:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (i)  Activities of daily living;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (ii)  Food preparation;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (iii)  Money management;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (iv)  Safety skills; and</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (v)  Social and adaptive skills necessary to enable the participant to reside in a non-institutional setting;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    (5)  Supported employment to include services that are intensive with ongoing supports </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">that</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> enable the participant for whom competitive employment, at or above the minimum wage, is unlikely absent the provision of supports and who, because of </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">the participant's</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> disabilities, need</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">s</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> supports to perform in a regular work setting;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    (6)  Medical equipment and drugs </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">to</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> include devices, controls, or appliances, specified in the ISP </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">that</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> enable a participant to increase the participant's ability to perform activities of daily living, or to perceive, control, or communicate with the environment in which they live;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    (7)  Nursing services </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">that</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> are not available under the Medicaid state plan and are limited to:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (a)  Screenings and assessments;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (b)  Nursing diagnosis treatment;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (c)  Staff training;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (d)  Monitoring of medical care and related services;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (e)  Policy and procedure development; and</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (f)  Review and response to medical emergencies, tuberculin tests, and phlebotomy for hepatitis screening; or</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    (8)  Other medically related services to include:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (a)  Speech, hearing, and language services;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (b)  Direct therapies, treatment, and services not available under the Medicaid state plan and provided by:</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (i)  Physicians;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (ii)  Psychiatrists;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (iii)  Physician assistants;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (iv)  Speech, physical, or occupational therapists;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (v)  Pharmacists;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (vi)  Optometrists;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (vii)  Dentists or dental hygienists;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (viii)  Audiologists;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (ix)  Podiatrists;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (x)  Chiropractors; or</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">            (xi)  Dietitians;</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (c)  Services, therapies, and treatments provided directly to the participant as indicated in the ISP; and</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">        (d)  Evaluations, program design, direct services, staff training, policy, and procedure review unless covered by the Medicaid state plan.</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000001">Source:</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> 40 SDR 102, effective December 3, 2013</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">; 43 SDR 9, effective August 2, 2016; 45 SDR 83, effective December 17, 2018; 49 SDR 48, effective November 22, 2022</span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">.</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000001">General Authority:</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-2-26"><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000003">27B-2-26</span></a><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">(3)(9).</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">    </span><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000001">Law Implemented:</span><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-2-26"><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0-000003">27B-2-26</span></a><span class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cC0">(3)(9).</span></p><p dir="ltr" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599cP0"><span xml:space="preserve" class="s635d64dc-0147-4fe1-ba9a-fb6d245f599c000002"> </span></p></div></body></html>