South Dakota Administrative Rules
Title 46 - Department of Human Services
Article 46:11 - Developmental disabilities
Chapter 46:11:13 - Preadmission screening and resident reviews
Section 46:11:13:05 - Categorical determinations for Level I
Current through Register Vol. 51, page 70, December 27, 2024
A categorical determination is made by the Department of Social Services. A categorical determination may warrant Medicaid certified swing bed or nursing facility services but does not warrant specialized services. A situation known as a categorical situation is one of the following:
(1) A terminal illness diagnosis, determined by a physician or hospice involvement that includes a life expectancy of six months or less;
(2) A severe physical illness which has resulted in a coma or ventilator dependence;
(3) The age of the individual is 75 years or older; or
(4) A primary diagnosis of dementia, including Alzheimer's disease or a related disorder; or a non-primary diagnosis of dementia without a primary diagnosis that is a serious mental illness.
For any of these situations, the Department of Social Services shall complete a Level I screening form. A copy of the form shall be sent to the division and any appropriate facility.
General Authority: SDCL 27B-2-26(8).
Law Implemented: SDCL 27B-2-26.
