South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:54 - Medical programs administered by Department of Human Services
Chapter 67:54:06 - Assistive daily living services for individuals with quadriplegia
Section 67:54:06:02 - Eligibility - Individual
Current through Register Vol. 51, page 43, September 23, 2024
An individual must meet the following requirements to be eligible to receive services under this chapter:
(1) Must be receiving personal attendant, case management, consumer preparation, or ancillary services;
(2) Must be at least 18 years old;
(3) Must have quadriplegia due to or resulting from ataxia, cerebral palsy, rheumatoid arthritis, muscular dystrophy, multiple sclerosis, traumatic brain injury, a congenital condition, an accident or injury to the spinal cord, or another neuromuscular or cerebral condition or disease other than traumatic brain injury; or the individual has four limbs absent due to disease, trauma, or congenital conditions;
(4) Must require a nursing facility level of care;
(5) Must have a service plan prepared under the provisions of § 67:54:06:05 that requires one or more of the services provided under this chapter;
(6) Must be a recipient of SSI or must qualify for Medicaid as determined by the Department of Social Services under article 67:46 except for residing in a long-term care facility;
(7) If receiving personal attendant services, must be able to independently direct and manage the needed personal attendant services;
(8) Must be medically stable and free from life-threatening conditions as determined by the individual's personal physician.
General Authority: SDCL 28-6-1(6).
Law Implemented: SDCL 28-6-1(6).
Medical review team -- Level of care, ch 67:45:01.
Agency to assign case manager -- Preparation of assessment and case service plan, § 67:54:06:05.
Ineligibility when income exceeds 300 percent of the maximum SSI standard, § 67:46:04:14.
Eligibility starting date, § 67:46:01:03.