S.D. Admin. R. 46:11:13:06

Current through Register Vol. 51, page 67, December 16, 2024
Section 46:11:13:06 - Level II review

The division shall conduct a Level II review that consists of determining appropriateness of Medicaid certified swing bed or nursing facility services and specialized services for individuals identified in the Level I screening.

Each individual is reviewed for appropriateness of placement, regardless of the source of payment for the swing bed or nursing facility services. A determination whether or not an individual requires the level of services provided by the facility and whether or not an individual can benefit from specialized services is made.

S.D. Admin. R. 46:11:13:06

40 SDR 102, effective 12/3/2013; 40 SDR 229, effective 6/30/2014.

General Authority: SDCL 27B-2-26(8).

Law Implemented: SDCL 27B-2-26.