<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.s36528064-cb90-483b-96ce-bcff5abb6e64P0 { 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.s36528064-cb90-483b-96ce-bcff5abb6e64C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s36528064-cb90-483b-96ce-bcff5abb6e64C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s36528064-cb90-483b-96ce-bcff5abb6e64C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s36528064-cb90-483b-96ce-bcff5abb6e64000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s36528064-cb90-483b-96ce-bcff5abb6e64C0-000003 { 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="s36528064-cb90-483b-96ce-bcff5abb6e64P0"><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:50:09"><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000000">67:16:50:09</span></a><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000001">.  </span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000001">Level II State Mental Health Authority determination</span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000001">.</span><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0"> </span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">The independent evaluator, as described in 42 C.F.R. §</span><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0"> </span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">483.106 (April 28, 1993), shall submit an evaluation report and all data collected to the authority for final determination. The authority shall determine if the individual requires the level of services provided by the medicaid-certified nursing facility and if specialized services are appropriate</span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">.</span></p><p dir="ltr" class="s36528064-cb90-483b-96ce-bcff5abb6e64P0"><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64000002"> </span></p><p dir="ltr" class="s36528064-cb90-483b-96ce-bcff5abb6e64P0"><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">    </span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000001">Source:</span><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0"> </span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">52 SDR 41, effective October 27, 2025</span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">.</span></p><p dir="ltr" class="s36528064-cb90-483b-96ce-bcff5abb6e64P0"><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">    </span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000001">General Authority:</span><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000003">1-36-25</span></a><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">.</span></p><p dir="ltr" class="s36528064-cb90-483b-96ce-bcff5abb6e64P0"><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">    </span><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000001">Law Implemented:</span><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0-000003">28-6-1</span></a><span class="s36528064-cb90-483b-96ce-bcff5abb6e64C0">.</span></p><p dir="ltr" class="s36528064-cb90-483b-96ce-bcff5abb6e64P0"><span xml:space="preserve" class="s36528064-cb90-483b-96ce-bcff5abb6e64000002"> </span></p></div></body></html>