<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.sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0 { 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.sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0 { background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000001 { background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd7b55b28-67e9-4d67-b0cc-8e70f690ba71000002 { background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0-000004 { margin-top: 0; line-height: 115.0%; margin-bottom: 10pt; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; } </style></head><body><div><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:07:07"><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000000">67</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000000">:</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000000">61</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000000">:</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000000">07</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000000">:</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000000">07</span></a><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000001">.  Continued service criteria.</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> The program </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">staff or direct care provider </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">shall document</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">,</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> for each</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">client</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">,</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> the progress and reasons for retaining the client at the present level of care and </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">create </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">an</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">individualized plan of action to address the reasons for retaining the </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">client</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">at</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> the</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">present level of care. This document </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">must be</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> maintained in the client case record. It is</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">appropriate to retain the client at the present level of care if:</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71000002"> </span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    (1)</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">  </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">The client is making progress, but has not yet achieved the goals articulated in</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">the individualized treatment plan. Continued treatment at the present level of care </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">must be </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">assessed</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">,</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> as necessary</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">,</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> to permit the client to continue </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">working</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> toward his or her treatment</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">goals; or</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71000002"> </span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    (2)</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">  </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">The client is not yet making progress, but has the capacity to resolve his or her</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">problems. </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">The client</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> is actively working toward the goals articulated in the</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">individualized treatment plan. Continued treatment at the present level of care </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">must be</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> assessed</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">, </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">as necessary</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">,</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> to permit the client to continue </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">working</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> toward his or her treatment goals; or</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71000002"> </span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    (3)</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">  A new problem or priority</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> that </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">is</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> appropriately treated at the present</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">level of care</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> has been identified</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">. The new problem or priority requires services, the frequency and intensity</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">of which can only be delivered </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">safely </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">by </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">continuing to</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> stay </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">at</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> the current level of care. The</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> client's </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">level of care </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">must be</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> the least intensive</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">level at which the client</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">'</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">s new problem</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> or priority</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> can be addressed effectively.</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71000002"> </span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    The individualized plan of action to address the reasons for retaining the</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">individual </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">at</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> the present level of care </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">must</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> be documented every:</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71000002"> </span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    (a)</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">  </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">Two calendar days for</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> c</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">linically-managed</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">,</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> residential detoxification;</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    (b)</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">  Fourteen</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> calendar days for</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> e</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">arly intervention services;</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> i</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">ntensive outpatient services;</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> d</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">ay treatment services; and</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> m</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">edically</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">-</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">monitored</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">,</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> intensive inpatient treatment; and</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    (c)</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">  Thirty</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> calendar days for</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> o</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">utpatient treatment program</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">s</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> and</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> c</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">linically-managed</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">,</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> low-intensity residential treatment.</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71000002"> </span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000001">Source:</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">43</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> SDR </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">80</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">, effective </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">.</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000001">General Authority:</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000003">1-36-25</span></a><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000003">34-20A-27</span></a><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">.</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">    </span><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000001">Law Implemented:</span><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0-000003">34-20A-27</span></a><span class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71C0">.</span></p><p dir="ltr" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71P0-000004"><span xml:space="preserve" class="sd7b55b28-67e9-4d67-b0cc-8e70f690ba71000002"> </span></p></div></body></html>