<html> <head> <title>Rule 46:11:12:04 Documentation required.</title> <META NAME="Keywords" Content="Administrative Rules 46:11:12:04"> <META NAME="Description" Content="Administrative Rules 46:11:12:04 Documentation required."> <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>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>46:11:12:04.&nbsp;&nbsp;Documentation required.</b> If the individual has a developmental disability, developmental delay, traumatic brain injury, or chronic medical condition, a copy of a document containing the diagnosis and name of the physician, psychiatrist, or psychologist issuing the diagnosis must be submitted with the application.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; If the individual is a child with a serious emotional disturbance or if the individual is an adult with a severe and persistent mental illness, a Mental Health Summary Evaluation form as provided by the division must be submitted with the application.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; If a post-adoptive family is seeking services, a copy of the court order of adoption must be submitted with the completed application.</p> <p class=MsoNormal>&nbsp;</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 40 SDR 102, effective December 3, 2013.</p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=27B-2-26">27B-2-26(6).</A></p> <p class=MsoNormal>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=27B-2-26">27B-2-26(6).</A></p> <p class=MsoNormal>&nbsp;</p> </div> </body> </html>