<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.sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0 { 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.sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000003 { 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="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:50:13"><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000000">67:16:50:13</span></a><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000001">.  </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000001">Notification of Level II determination</span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000001">.</span><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0"> </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">The State Mental Health Authority, State Intellectual Disability Authority, or both when applicable, shall issue a written notification of the Level II review determination. The notification must include</span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">:</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002"> </span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    </span><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">(1)  </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">Whether a Medicaid nursing facility level of services is needed</span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">;</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002"> </span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    </span><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">(2)  </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">Whether specialized services are needed</span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">;</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002"> </span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    (3)  </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">The placement options available to the individual that are consistent with the review determination</span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">;</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002"> </span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    (4)  </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">The appeal rights of the individual; and</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002"> </span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    (5)  The evaluation report.</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002"> </span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">A copy of the Level II determination notification must be sent to the individual, the appropriate state authorities, the admitting or retaining nursing facility, and the discharging hospital, if applicable. A copy of the Level II determination notification must also be sent to the individual's attending physician, or made available for review at the facility</span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">.</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002"> </span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000001">Source:</span><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0"> </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">52 SDR 41, effective October 27, 2025</span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">.</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000001">General Authority:</span><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000003">1-36-25</span></a><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">.</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">    </span><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000001">Law Implemented:</span><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0-000003">28-6-1</span></a><span class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2C0">.</span></p><p dir="ltr" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2P0"><span xml:space="preserve" class="sd1ca00c4-e9b9-4fdd-a76e-b0bb05d4ecd2000002"> </span></p></div></body></html>