Within 30 days after receiving the completed client assessment and service plan, the Department of Human Services' utilization review team must review the documents to determine whether placement into the program and the services required are appropriate. Within the same 30-day period, the URT must also determine whether the individual requires a nursing facility level of care. The determination of the need for care is based on information submitted by the client's personal physician and the provider agency which documents the client's medical status and the need for services.
The URT must redetermine the individual's level of care at least annually.
S.D. Admin. R. 67:54:06:12
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.