An individual is exempt from the preadmission screening and resident review process following a hospital discharge if:

1. (1) The individual is admitted to a medicaid-certified nursing facility, directly from a hospital, after receiving acute inpatient care at the hospital;
2. (2) The individual requires medicaid-certified nursing facility services for the condition that required care in the hospital; and

3. (3) The individual's attending physician has certified, before admission to the medicaid-certified nursing facility, that the individual is likely to require less than thirty calendar days of medicaid-certified nursing facility services.

   The medicaid-certified nursing facility must have a completed exempt hospital discharge form on file for an individual if the exemption criteria for any subdivision in this rule applies. If an individual enters a medicaid-certified nursing facility as an exempt hospital discharge and is later found to require more than thirty days of nursing care, the facility must request a preadmission screening and resident review prior to the expiration of that thirty days.

Source: 52 SDR 41, effective October 27, 2025.

General Authority: SDCL 1-36-25 .

Law Implemented: SDCL 28-6-1 .