S.D. Admin. R. 67:54:04:18

Current through Register Vol. 51, page 56, November 4, 2024
Section 67:54:04:18 - Initial level of care

The following documentation is required to determine the initial level of care:

(1) A completed ICAP that indicates a minimum of three substantial functional limitations;
(2) A copy of the psychological evaluation;
(3) An HCBS Waiver Choice and Rights Form signed by a CSP staff member and the individual, the individual's parent if the individual is under 18 years of age, or the individual's guardian; and
(4) A provisional plan of care that designates the specific waiver service that the individual will receive.

S.D. Admin. R. 67:54:04:18

10 SDR 79, effective 2/1/1984; 15 SDR 154, effective 4/9/1989; 15 SDR 203, effective 7/2/1989; 18 SDR 67, effective 10/13/1991; transferred from

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.