Payment limits -- Level of care classification.
Effective Jan 7, 201440 SDR 122Source: 11 SDR 26, effective August 21, 1984; transferred from § 67:16:04:08.01, 18 SDR 67, effective October 13, 1991; 40 SDR 122, effective January 7, 2014. | General Authority: SDCL 28-6-1. | Law Implemented: SDCL 28-6-1.
Payment to a nursing facility for services provided to an eligible individual may not be made until the following requirements are met:
- (1) The individual is eligible under article 67:46;
- (2) The medical review team has determined that the individual requires the level of care for which payment is being requested;
- (3) The redetermination of the level of care classification required in § 67:45:01:08 is current; and
- (4) The facility is able to meet the needs of the individual.
Source: 11 SDR 26, effective August 21, 1984; transferred from § 67:16:04:08.01, 18 SDR 67, effective October 13, 1991; 40 SDR 122, effective January 7, 2014.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.