<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.sdbcaba5d-a316-4485-b6aa-d45513122bd7P0 { 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.sdbcaba5d-a316-4485-b6aa-d45513122bd7C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sdbcaba5d-a316-4485-b6aa-d45513122bd7000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000003 { 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="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:50:08"><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000000">67:16:50:08</span></a><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000001">.  </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000001">Level II State Mental Health Authority evaluation</span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000001">.</span><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0"> </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">An independent evaluator shall complete the Level II evaluation based on an independent physical and mental evaluation performed by a person or entity other than the State Mental Health Authority for an individual with an identified serious mental illness as required in 42 C.F.R. §</span><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0"> </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">483.106 (April 28, 1993). A preadmission screening and resident review Level II evaluation must involve:</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7000002"> </span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    </span><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">(1)  </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">The individual being evaluated</span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">;</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7000002"> </span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    </span><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">(2)  </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">The individual's legal representative, if applicable; and</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7000002"> </span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    (3)  </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">The individual's family, if available and the individual consents.</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7000002"> </span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">The Level II evaluation must be adapted to the cultural background, language, ethnic origin, and means of communication used by the individual being evaluated</span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">.</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7000002"> </span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">Data must be collected and evaluated pursuant to 42 C.F.R. §§</span><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0"> </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">483.132 and 483.134 (October 1, 2024).</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7000002"> </span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000001">Source:</span><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0"> </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">52 SDR 41, effective October 27, 2025</span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">.</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000001">General Authority:</span><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000003">1-36-25</span></a><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">.</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">    </span><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000001">Law Implemented:</span><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0-000003">28-6-1</span></a><span class="sdbcaba5d-a316-4485-b6aa-d45513122bd7C0">.</span></p><p dir="ltr" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7P0"><span xml:space="preserve" class="sdbcaba5d-a316-4485-b6aa-d45513122bd7000002"> </span></p></div></body></html>