South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:54 - Medical programs administered by Department of Human Services
Chapter 67:54:04 - Home and community-based services
Section 67:54:04:06 - Preplacement assessment
Current through Register Vol. 51, page 43, September 23, 2024
Before home and community-based services (HCBS) is approved for an individual, the proposed HCBS provider shall complete an Integrated Case-Based Applied Pathology (ICAP). The ICAP shall indicate a substantial functional limitation in at least three of the seven areas listed in § 67:54:03:04. The proposed HCBS provider shall submit the ICAP to the Division of Developmental Disabilities, Department of Human Services, using the ICAP Compuscore software. The division shall receive this data upon the initiation of HCBS, as changes to the data occur, and annually on January 15th. For an individual's record to be valid, the evaluation date may not be more than 13 months old. The Compuscore software generates standardized domain scores for each of its adaptive behavior sections: motor skills, social and communication skills, personal living skills, and community living skills.
No deficit exists if the following criteria are met:
(1) Self care: The personal living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter 67:54:03 and, for individuals over four years of age, the individual has no arm/hand limitations in daily activities (ICAP item C8=1);
(2) Language: The social and communication skills domain score exceeds the age-related criterion in Appendix A at the end of chapter 67:54:03 and, for individuals over four years of age, the individual speaks (ICAP item A7=3);
(3) Learning/cognition: The individual does not have an intellectual disability (ICAP item C1=1);
(4) Mobility: The individual walks (ICAP item C9=1) and, for individuals over four years of age, no mobility assistance is needed (ICAP item C10=1);
(5) Self-direction: The general maladaptive index is in the normal range (ICAP, GMI> -11), the individual's community living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter 67:54:03, and there is no psychiatric diagnosis (neither ICAP items B11 nor B12 checked);
(6) Independent living: The individual's community living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter 67:54:03 and, for individuals 18 years of age and older, the recommended residential placement is "independent in own home or rental unit" (ICAP, page 10, F2="3"); and
(7) Economic self-sufficiency: The individual's recommended daytime program (ICAP item G2) is "competitive employment."
A substantial deficit is present if the preceding criteria are not met.
General Authority: SDCL 28-6-1(1)(4)(6).
Law Implemented: SDCL 28-6-1(1)(4)(6).
Inventory for Client and Agency Planning (ICAP), 1986, published by Riverside Publishing Company, 425 Spring Lake, Itasca, Illinois 60134-2079; 25 response booklets $45.
