The ICF/IID shall ensure the availability of physician services 24 hours a day. The ICF/IID shall provide or obtain preventive and general medical care as well as annual physical examinations of each person supported that, at a minimum, include the following:

1. (1) Evaluation of vision and hearing;
2. (2) Immunizations; and

3. (3) Tuberculosis control.

   The ICF/IID may utilize physician assistants and certified nurse practitioners to provide physician services. The physician, physician's assistant, or certified nurse practitioner must participate in the establishment of each newly-admitted person's ISP. A physician must participate as part of the interdisciplinary team process, either in person or through a written report to the interdisciplinary team. The physician, physician's assistant, or certified nurse practitioner must develop a medical care plan of treatment if the person requires 24-hour licensed nursing care.

Source: 26 SDR 96, effective January 24, 2000; 27 SDR 63, effective December 31, 2000; 37 SDR 69, effective October 18, 2010; 40 SDR 122, effective January 8, 2014.

General Authority: SDCL 27B-2-26(1).

Law Implemented: SDCL 27B-3-17 , 27B-8-39 , 42 C.F.R. § 483.460 (October 1, 2002).