An individual with a mental disease is eligible for medical assistance if the following criteria are met:
- (1) The individual is eligible for Medicaid under article 67:46;
- (2) The service is a covered Medicaid service under article 67:16;
- (3) The utilization control team has determined that the individual has a severe mental illness and requires care in a nursing facility for individuals with a mental disease;
- (4) The annual redetermination of the need for continued care, if applicable, is current; and
- (5) The facility meets the individual's needs.
Source: 20 SDR 170, effective April 18, 1994.
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.