<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.se7df3264-57b6-41e8-a229-d97b31a2fbf6P0 { 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.se7df3264-57b6-41e8-a229-d97b31a2fbf6C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.se7df3264-57b6-41e8-a229-d97b31a2fbf6000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000003 { 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="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:50:18"><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000000">67:16:50:18</span></a><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000001">.  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000001">Individual not requiring nursing facility services but requiring specialized services for preadmission screening and resident review condition -- Thirty-month determination</span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000001">.</span><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0"> </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">If an individual has resided in a medicaid-certified nursing facility prior to a determination of eligibility, and was determined not eligible for nursing home services, but requires specialized services, the State Mental Health Authority or State Intellectual Disability Authority, in consultation with the individual's family, the individual's legal representative, if applicable, and the individual's family, if available and the individual consents, must</span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">:</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6000002"> </span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">    </span><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">(1)  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">For an individual who has continuously resided in a medicaid-certified nursing facility at least thirty months</span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">:</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6000002"> </span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">    </span><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">    (a)  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">Offer the individual the choice of remaining in the nursing facility or receiving services in an alternative setting</span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">;</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">        (b)  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">Inform the individual of the institutional and noninstitutional alternatives covered under the state medicaid plan</span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">;</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">        (c)  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">Inform the individual of any effect on the individual's eligibility for medicaid services under the state plan, or any effect on readmission, if the individual chooses to leave the nursing facility; and</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">        (d) </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">Provide or arrange specialized services for the individual's serious mental illness or intellectual or developmental disability; or</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6000002"> </span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">    (2)  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">For an individual who has resided in a medicaid-certified nursing facility for less than thirty months</span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">:</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6000002"> </span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">        (a)  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">Arrange for the safe and orderly discharge of the individual from the facility;</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">        (b)  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">Prepare and orient the individual for discharge; and</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">        (c)  </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">Provide or arrange specialized services to treat the individual's serious mental illness or intellectual or developmental disability</span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">.</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6000002"> </span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">    </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000001">Source:</span><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0"> </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">52 SDR 41, effective October 27, 2025</span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">.</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">    </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000001">General Authority:</span><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000003">1-36-25</span></a><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">.</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">    </span><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000001">Law Implemented:</span><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0-000003">28-6-1</span></a><span class="se7df3264-57b6-41e8-a229-d97b31a2fbf6C0">.</span></p><p dir="ltr" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6P0"><span xml:space="preserve" class="se7df3264-57b6-41e8-a229-d97b31a2fbf6000002"> </span></p></div></body></html>