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 67:16:40:20 - Criteria for terminating coverage - Long-term care hospital unit
Universal Citation: SD Admin Rules 67:16:40:20
Current through Register Vol. 51, page 43, September 23, 2024
An individual's care in a long-term care hospital unit becomes a noncovered service if the care manager determines that the individual meets any of the following criteria:
(1) The individual no long requires care in a long-term care hospital unit;
(2) The individual meets the requirements for admission to a rehabilitation unit as specified in § 67:16:40:09;
(3) The individual meets the requirements for admission to a nursing home as specified in chapter 67:45:01; or
(4) The individual has not demonstrated continued functional gains for two weeks.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
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