South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:16 - Covered medical services
Chapter 67:16:40 - Care management - Rehabilitation, psychiatric, neonatal
Section 67:16:40:18 - Criteria for terminating coverage - Rehabilitation
Universal Citation: SD Admin Rules 67:16:40:18
Current through Register Vol. 51, page 43, September 23, 2024
An individual's care in a rehabilitation unit becomes a noncovered service if the care manager determines that the individual meets any of the following criteria:
(1) The individual has reached potential in the current setting;
(2) The individual is functional;
(3) The individual's condition is stable to the point of receiving outpatient care or care in an alternative setting; or
(4) The individual is not complying with the recommendations made through the care conference.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
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