ARSD 67:54:03:0A
DEPARTMENT OF SOCIAL SERVICES
MEDICAL PROGRAMS ADMINISTERED BY DEPARTMENT OF HUMAN SERVICES
(ICF-MR/DD)
CRITERIA FOR INVENTORY FOR CLIENT AND AGENCY PLANNING (ICAP)
Chapter 67:54:03
APPENDIX A
SEE: §§ 67:54:03:05 and 67:54:04:06
APPENDIX A
CRITERIA FOR INVENTORY FOR CLIENT AND AGENCY PLANNING (ICAP)
PERSONAL
SOCIAL AND
COMMUNITY
AGE
LIVING
COMMUNICATION
LIVING
0
336
340
343
1
376
388
373
2
405
428
394
3
423
429
409
4
432
440
420
5
444
448
431
6
451
453
441
7
457
456
452
8
461
463
461
9
468
468
469
10
473
475
476
11
479
482
482
12
484
486
489
13
490
488
494
14
493
490
497
15
497
493
501
16
500
497
503
17
502
500
507
18
505
501
510
19
505
504
513
20
507
507
516
21
509
509
518
22
510
511
520
23
512
515
521
24
516
516
524
25
517
518
525
26
520
519
527
27
522
521
529
28
525
522
530
29
528
522
530
30
531
523
530
31
533
524
531
32
534
524
531
33
534
525
531
34
534
525
531
35
534
525
531
36
534
526
531
37
534
526
530
38
534
526
530
39
534
527
530
40
534
527
530
41
534
527
530
Source: 21 SDR 34, effective August 29, 1994.