<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.s8c269669-0d39-4d33-a515-cc621c81daf6P0 { 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.s8c269669-0d39-4d33-a515-cc621c81daf6C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8c269669-0d39-4d33-a515-cc621c81daf6C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8c269669-0d39-4d33-a515-cc621c81daf6C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s8c269669-0d39-4d33-a515-cc621c81daf6000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s8c269669-0d39-4d33-a515-cc621c81daf6C0-000003 { 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="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:16:50:19"><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000000">67:16:50:19</span></a><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000001">.  </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000001">Significant change</span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000001">.</span><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0"> </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">If a significant change occurs for an individual known or suspected to have a preadmission screening and resident review condition, the medicaid-certified nursing facility must initiate a new preadmission screening and resident review utilizing the Level I screen. The referral for a new review must occur within fourteen days of a significant change being identified by the nursing facility</span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">.</span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6000002"> </span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">    </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">For purposes of this section, a significant change is a decline or improvement in an individual's status that</span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">:</span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6000002"> </span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">    </span><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">(1)  </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">Would not normally resolve itself without intervention by staff or by implementing clinical interventions</span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">;</span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6000002"> </span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">    (2)  </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">Impacts more than one area of the individual's health status; and</span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6000002"> </span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">    (3)  </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">Requires interdisciplinary review or revision of the care plan</span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">.</span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6000002"> </span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">    </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000001">Source:</span><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0"> </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">52 SDR 41, effective October 27, 2025</span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">.</span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">    </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000001">General Authority:</span><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000003">1-36-25</span></a><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">.</span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">    </span><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000001">Law Implemented:</span><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0-000003">28-6-1</span></a><span class="s8c269669-0d39-4d33-a515-cc621c81daf6C0">.</span></p><p dir="ltr" class="s8c269669-0d39-4d33-a515-cc621c81daf6P0"><span xml:space="preserve" class="s8c269669-0d39-4d33-a515-cc621c81daf6000002"> </span></p></div></body></html>