<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.sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0 { 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.sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000003 { 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="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=46:11:09:01"><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000000">46:11:09:01</span></a><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000001">.  Definitions.</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> Terms used in this chapter mean:</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (1)</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">  "</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">Agency with choice, a co-employment option between a provider and a participant for participant-directed services in which the provider is the employer of record and the participant is the managing employer; </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (2)  </span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> Common-law employer model, an option for participant-directed services in which the participant, or the participant s designated representative, serves as the employer of record, and a financial management services provider assists with enrollment, accounting, reporting, payroll, and taxes; </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (3)  </span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">"Companion care services," non-medical services </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">for</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> developing a participant's independent living skills;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">4</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Consent," voluntary approval given in writing, orally, or implied</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">ly</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> by the action of a person with adequate information and sufficient understanding to comprehend the consequences of the decision;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">5</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Coordinator," an individual employed by a </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">provider</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> meeting the requirements of this chapter, to assist participants in gaining access to family support as well as ne</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">cessary</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> medical, social, educational, and other services, regardless of the funding source;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">6</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Employer of record," any </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">provider</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> providing family support services pursuant to this chapter and who </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">hires</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> the employee, process</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">es</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> employment forms, provid</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">es</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> training to program participants and employees if requested, and manag</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">es</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> the payroll function;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">7</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Family," a person or a group of people who are related to the participant by blood, marriage, or adoption, or define themselves as a family based upon bonds of affection, and who currently share a household with the participant or ha</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">ve</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">, in the past, shared a household with the participant. For the purposes of this subdivision, the phrase, bonds of affection, means enduring ties that do not depend on the existence of an economic relationship and the relationship is expected to endure over time;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (8)  </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> Financial management services, tracking expenditures against the participant's budget for participant-directed services. When used in conjunction with employer authority, financial management services include operating a payroll service participant-employed staff and making required payroll withholdings. Financial management services may also include paying invoices for waiver goods and services;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (9)  </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> Financial management services provider, an entity providing financial management services to a participant;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">10</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Goals," outcomes expected to be achieved by a participant</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> within five years</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> for each service received, stated in measurable terms so that attainment can be determined;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">11</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Home and community based services</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">,</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">" </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">(</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">HCBS</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">, the services contained in this chapter that are provided by a community support provider, support provider, or qualified provider meeting the requirements of this chapter, to a participant who, without these services, would require placement in an intermediate care facility for individuals with intellectual disabilities</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">, </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">as defined in 42 C.F.R. § 435.1009, in effect on January 1, 2007;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">12</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Managing employer," any participant receiving services pursuant to this chapter or the participant's guardian or family who is responsible for recruitment, hiring recommendations, dismissal determinations, training of employees, determining what tasks are to be performed, and submitting and approving employees' timecards;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (1</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">3</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Participant-directed services," a service arrangement whereby the participant may choose any individual the participant desires to assist with the design of services, the selection of service providers, and decisions of how the authorized funding is to be spent based on the participant's ISP;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (1</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">4</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Personal care services," services that enable the participant to accomplish tasks that the participant would normally do if the participant did not have a disability;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (1</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">5</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Qualified provider," one that enters into an agreement with the division to provide personal care 1, personal care 2, respite care, companion care, or supported employment services to a participant;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (1</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">6</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Services," a system of formalized supports, generic or specialized;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (1</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">7</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Subcontractor," an individual or organization that enters into an agreement with a participant and an organized health care delivery system to provide services to the participant;</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (1</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">8</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)  "Supported employment," services directed towards assisting participants to obtain and retain paid employment in community settings</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">; and</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    (1</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">9</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">)   Waiver, a program of services for which the state requests to waive federal comparability requirements, in order to offer HCBS to specific groups of individuals as an alternative to institutional care.</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000001">Source:</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> 40 SDR 102, effective December 3, 2013;</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> 44 SDR 65, effective October 16, 2017</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">; 50 SDR 63, effective November 28, 2023</span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">.</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000001">General Authority:</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-2-26"><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000003">27B-2-26</span></a><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">.</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">    </span><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000001">Law Implemented:</span><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-1-15"><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000003">27B-1-15</span></a><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=27B-2-26"><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0-000003">27B-2-26</span></a><span class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2C0">.</span></p><p dir="ltr" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2P0"><span xml:space="preserve" class="sc9d29ff2-6906-4a60-9f64-0b81bd034de2000002"> </span></p></div></body></html>