South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:46 - Eligibility for medical services
Chapter 67:46:09 - Disabled children
Section 67:46:09:09 - Level of care - Nursing facility

(1) The child requires continuing professional nursing services which have been ordered by a physician and can only be provided by or under the supervision of a professional nurse as defined in chapter 20:48:04.01. These services include daily management, direct observation, monitoring, or performance of complex nursing procedures. Continuing care is repeated application of the procedures or services at least once each 24 hours, frequent monitoring, and documentation of the child's condition and response to the procedures or services;

(2) The child requires the assistance of another person for the performance of at least three of the five activities of daily living according to an age appropriate assessment. The ADL dependency requires the assistance and presence of another person during the entire activity; and

(3) The child requires skilled therapeutic services including physical therapy, occupational therapy, and speech/language therapy in any combination scheduled regularly, but not less than once a week unless limited by the child's medical condition or age.