S.D. Admin. R. 67:54:06:02

Current through Register Vol. 51, page 34, September 9, 2024

Section 67:54:06:02 - Eligibility - Individual

An individual must meet the following requirements to be eligible to receive services under this chapter:

(1) Must be receiving personal attendant, case management, consumer preparation, or ancillary services;

(2) Must be at least 18 years old;

(3) Must have quadriplegia due to or resulting from ataxia, cerebral palsy, rheumatoid arthritis, muscular dystrophy, multiple sclerosis, traumatic brain injury, a congenital condition, an accident or injury to the spinal cord, or another neuromuscular or cerebral condition or disease other than traumatic brain injury; or the individual has four limbs absent due to disease, trauma, or congenital conditions;

(4) Must require a nursing facility level of care;

(5) Must have a service plan prepared under the provisions of § 67:54:06:05 that requires one or more of the services provided under this chapter;

(6) Must be a recipient of SSI or must qualify for Medicaid as determined by the Department of Social Services under article 67:46 except for residing in a long-term care facility;

(7) If receiving personal attendant services, must be able to independently direct and manage the needed personal attendant services;

(8) Must be medically stable and free from life-threatening conditions as determined by the individual's personal physician.

S.D. Admin. R. 67:54:06:02

21 SDR 230, effective 7/13/1995; 26 SDR 99, effective 1/30/2000.

General Authority: SDCL 28-6-1(6).

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

Medical review team -- Level of care, ch 67:45:01. Agency to assign case manager -- Preparation of assessment and case service plan, § 67:54:06:05. Ineligibility when income exceeds 300 percent of the maximum SSI standard, § 67:46:04:14. Eligibility starting date, § 67:46:01:03.