<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>p.s28efbe9d-21d9-4bc5-a288-ac0100b47d3aP0 { 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.s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000001 { color: #000000; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s28efbe9d-21d9-4bc5-a288-ac0100b47d3a000002 { color: #000000; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s28efbe9d-21d9-4bc5-a288-ac0100b47d3aP0-000004 { margin-top: 0; line-height: 115.0%; margin-bottom: 10pt; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; } </style></head><body><div><p dir="ltr" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:61:17:03"><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000000">67</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000000">:</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000000">61</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000000">:</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000000">17</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000000">:</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000000">03</span></a><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000001">.  Agreement with hospital for emergency care.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">An</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> agency shall</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">have a written affiliation agreement</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> with a licensed hospital serving the area in which the </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">clinically-managed, residential detoxification </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">program is located</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">, for the provision of emergency, inpatient, and ambulatory medical services</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">.</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">The agreement </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> specify that the hospital consents to accept all transfers for prompt</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">medical evaluation. Documentation of the reason for the transfer </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">must</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> accompany all</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">transferred clients</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> as well as the documented history of </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">each </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">client's vital signs. Disclosure of</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">information about clients to the hospital </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">must be in compliance</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> with the requirements of 42 U.S.C. §</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">290dd-</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">2</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> in effect on March 27, 2020; </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">42 C.F.R. Part 2</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">in effect on January 18, 2017;</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> and 45 C.F.R. Part</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">s </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">160 and 164</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">,</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">in effect on September 26, 2016</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">.</span></p><p dir="ltr" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3a000002"> </span></p><p dir="ltr" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">    </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000001">Source:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">43</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> SDR </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">80</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">, effective </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">December 5, 2016; 50 SDR 63, effective November 27, 2023</span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">.</span></p><p dir="ltr" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">    </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000001">General Authority:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=1-36-25"><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000003">1-36-25</span></a><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000003">34-20A-27</span></a><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">.</span></p><p dir="ltr" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aP0"><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">    </span><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000001">Law Implemented:</span><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20A-27"><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0-000003">34-20A-27</span></a><span style="white-space: pre-wrap;" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aC0">.</span></p><p dir="ltr" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3aP0-000004"><span style="white-space: pre-wrap;" xml:space="preserve" class="s28efbe9d-21d9-4bc5-a288-ac0100b47d3a000002"> </span></p></div></body></html>