Before the provider admits an individual to a facility and each month thereafter that the individual remains in care, the provider must verify through the department that the individual continues to be eligible for medical assistance.

1. (1) The individual has been discharged from the facility;
2. (2) The individual has run away from the facility;
3. (3) The individual has been admitted to a hospital; or

4. (4) The individual has been placed in a juvenile detention center.

   Failure to comply with the requirements of this section may result in termination of coverage.

The provider must notify the child’s placing agency in advance of treatment team meetings. In addition, the provider must notify the placing agency within 24 hours after the occurrence of any of the following:

Source: 32 SDR 33, effective August 31, 2005; 34 SDR 180, effective December 26, 2007.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 26-6-14 , 28-6-1.