An individuals continuous and uninterrupted stay in a facility is a covered service if the certification team determines, based on the childs progress report required by § 67:42:08:07 or 67:42:15:11, that all of the following conditions are met:
(1) The individual is actively participating in the treatment;(2) The individual continues to require the authorized level of care and is not able to function or use outpatient care as reflected in the medical record;(3) The individual is complying with the recommendations made by the treatment team; and(4) The individuals daily progress notes show improvement towards the goal of discharge.S.D. Admin. R. 67:16:47:08
32 SDR 33, effective 8/31/2005; 34 SDR 180, effective 12/26/2007; 44 SDR 94, effective 12/4/2017General Authority: SDCL 28-6-1.
Law Implemented: SDCL 26-6-14, 28-6-1(1)(2)(4).