South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:03 - Hospital services
Section 67:16:03:06.16 - Rate of reimbursement if individual subject to care management remains in psychiatric unit beyond established discharge date

(1) The care manager determined that the individual reached the individual's potential in the current setting or there is a recommendation through the care conference that the individual be transferred to long-term psychiatric care;

(2) The care manager established a discharge date;

(3) The care manager provided written notice of the established discharge date to the provider; and

(4) Because no alternative placement was available, the care manager authorized the individual to remain in the unit beyond the established discharge date. This authorization does not constitute a change in the established discharge date.

Services provided in an exempt unit that are not authorized by the care manager are not reimbursable.