Before home and community-based services (HCBS) are approved for an individual, the proposed HCBS provider shall complete an Integrated Case-Based Applied Pathology (ICAP). The ICAP must indicate a substantial functional limitation, in at least three of the seven areas listed in § 67:54:03:04. The proposed HCBS provider shall submit the ICAP to the Division of Developmental Disabilities, Department of Human Services, using the ICAP Compuscore software. The provider shall submit this data to the division upon the initiation of HCBS annually on January 15^th, and as changes occur. For an individual's record to be valid, the evaluation date may not be more than 13 months old.

1. (1) Self care: The personal living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter 67:54:03 and, in the case of an individual who is four years of age or older, there are no arm or hand limitations in daily activities;
2. (2) Language: The social and communication skills domain score exceeds the age-related criterion in Appendix A at the end of chapter 67:54:03 and, in the case of an individual who is four years or age or older, the individual is able to speak;
3. (3) Learning/cognition: The individual does not have an intellectual disability;
4. (4) Mobility: The individual is able to walk and, in the case of an individual who is four years of age or older, no mobility assistance is needed;
5. (5) Self-direction: The general maladaptive index is in the normal range , the individual's community living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter 67:54:03, and there is no psychiatric diagnosis;
6. (6) Independent living: The individual's community living skills domain score exceeds the age-related criterion in Appendix A at the end of chapter 67:54:03 and, in the case of an individual who is 18 years of age or older, the recommended residential placement is "independent in own home or rental unit"; and

7. (7) Economic self-sufficiency: The individual's recommended daytime program is "competitive employment."

   A substantial functional limitation is present if the preceding criteria are not met.

   Reference: Inventory for Client and Agency Planning (ICAP), 1986, published by Riverside Publishing Company, 425 Spring Lake, Itasca, Illinois 60134-2079; 25 response booklets $45.

No deficit exists if the following criteria are met:

Source: 10 SDR 79, effective February 1, 1984; 15 SDR 154, effective April 9, 1989; transferred from § 67:16:27:06, effective August 23, 1992; 21 SDR 34, effective August 29, 1994; 22 SDR 188, effective July 8, 1996; 26 SDR 150, effective May 21, 2000; SL 2013, ch 128, § 4, effective July 1, 2013; 40 SDR 122, effective January 8, 2014 ; 45 SDR 82, effective December 10, 2018 ; 49 SDR 21, effective September 12, 2022 .

General Authority: SDCL 28-6-1 .

Law Implemented: SDCL 28-6-1 (1)(4)(6) .

Prior versions effective: 2018-12-10, 2014-01-08.