<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.s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0 { 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.s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s29e4875d-2d42-4afb-9e94-2f47c7516d6e000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0-000004 { 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="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:07:09"><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000000">67</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000000">:</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000000">61</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000000">:</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000000">07</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000000">:</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000000">09</span></a><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000001">.  Transfer or discharge criteria.</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> It is appropriate to transfer or</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">discharge </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">a</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> client from </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">a</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> present level of care if:</span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6e000002"> </span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">    (1)</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">  </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">The client has achieved the goals articulated in his or her individualized</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">treatment plan, </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">by</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> resolving each problem that justified admission to the present level</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">of care</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">,</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">or c</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">ontinuing the chronic disease management of the client</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">'</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">s condition at a less</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">intensive level of care is indicated;</span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6e000002"> </span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">    (2)</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">  </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">The client has been unable to resolve each problem that justified admission to</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">the present level of care, despite amendments to the treatment plan</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">; t</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">he client is</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">determined to have achieved the maximum possible benefit from engagement in services</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">at the current level of care</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">; or</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">t</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">reatment at another level of care, more or less intensive, in</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">the same type of service, or discharge from treatment, is therefore indicated;</span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6e000002"> </span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">    (3)</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">  </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">The client has demonstrated a lack of capacity due to diagnostic or co</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">-</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">occurring</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">conditions that limit </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">the client's</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> ability to resolve each problem</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">;</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">or t</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">reatment at a</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">qualitatively different level of care or type of service, or discharge from treatment, is</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">therefore indicated; or</span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6e000002"> </span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">    (4)</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">  </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">The client has experienced an intensification of a problem, or has developed a</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">new problem, and can be treated effectively only at a more intensive level of care.</span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6e000002"> </span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">    </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000001">Source:</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">43</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> SDR </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">80</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">, effective </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">.</span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">    </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000001">General Authority:</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000003">1-36-25</span></a><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000003">34-20A-27</span></a><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">.</span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">    </span><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000001">Law Implemented:</span><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0-000003">34-20A-27</span></a><span class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eC0">.</span></p><p dir="ltr" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6eP0-000004"><span xml:space="preserve" class="s29e4875d-2d42-4afb-9e94-2f47c7516d6e000002"> </span></p></div></body></html>