South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:05 - Home health services
Section 67:16:05:01 - Definition of terms

(1) "Attending physician or other licensed practitioner," the individual's personal private physician or other licensed practitioner or a physician or other licensed practitioner assigned to care for the individual in the absence of a personal private physician or other licensed practitioner;

(2) "Custodial care," services that do not require nursing supervision and are designed to assist an individual perform the activities of daily living;

(3) "Home health agency," an organization which is primarily engaged in providing skilled nursing, medical social services, or home health aide services and which meets the requirements of a home health agency under 42 C.F.R. §§ 484.1 to 484.115, inclusive (June 19, 2020). This does not include an agency or organization whose function is primarily the care and treatment of mental illness;

(4) "Home health aide services," those nursing-related services not required to be performed by a licensed health professional but prescribed by a licensed physician and provided on an intermittent basis;

(5) "Home health services" or "services," skilled nursing services, medical social services, or home health aide services provided by a home health agency;

(6) "Medical social services," those services which contribute to the treatment of a patient's physical condition and are needed because social problems exist which impede the effective treatment of the patient's medical condition or the patient's rate of recovery;

(7) "Plan of care," the plan developed by the home health agency in response to the physician or other licensed practitioners written orders to the agency prescribing the needed services and the duration of those services;

(8) "Postpartum services," skilled nursing services following a child's birth;

(9) "Skilled nursing services," those nursing services defined in SDCL 36-9-3 which are provided on a part-time or intermittent basis;

(10) "Therapy services," physical, respiratory, occupational, and speech therapy services provided by the home health agency either directly by or under contract with a qualified therapist acting within the therapist's scope of practice; and

(11) "Visit," one encounter with a recipient for the purpose of delivering home health services.