Current through Register Vol. 51, page 67, December 16, 2024
Section 67:16:24:01 - Definitions Terms used in this chapter mean:
(1) "Activities of daily living," tasks performed routinely by a person to maintain physical functioning and personal care, including transferring, moving about, dressing, grooming, toileting, and eating;(2) "Economic resources," the recipient's own resources together with other types of assistance, financial or otherwise, which are available to a recipient and would help maintain the recipient in the recipient's own home;(3) "Maintenance nursing," periodic evaluation and counseling by a licensed nurse to promote and maintain the individual's optimal health. Maintenance nursing may include injections, monitoring and setting up medications, physical assessments, monitoring patient status, foot care, drawing blood, changing dressing, and health education;(4) "Personal adjustment," the mental or emotional state of well-being of a recipient on a continuum from good to poor. Poor personal adjustment may include problems with sleeping, difficulty in expressing feelings, unhappiness, or depression;(5) "Personal care provider," an agency incorporated in South Dakota which has a contract with the department to provide personal care services in the recipient's place of residence;(6) "Personal care services," medically necessary services in the recipient's case service plan that are provided by an individual who is qualified to provide the services and is not a member of the recipient's family;(7) "Physical environment," the recipient's dwelling unit, building, or house and its furnishings and the neighborhood in which the recipient resides;(8) "Physical health," the medical state of well-being which may be on a continuum from good to poor. Poor health is the presence of one or more illnesses or physical disabilities which are either painful or inhibit a person's ability to perform daily tasks; and(9) "Social resources," support or assistance available to a recipient from the recipient's family, friends, neighbors, or community organizations such as churches, civic groups, or senior centers or other agencies providing services to residents of the community.S.D. Admin. R. 67:16:24:01
5 SDR 109, effective 7/1/1979; 7 SDR 66, 7 SDR 89, effective 7/1/1981; 20 SDR 170, effective 4/18/1994; 23 SDR 92, effective 12/10/1996; 28 SDR 96, effective 12/30/2001; 44 SDR 94, effective 12/4/2017General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1(1)(4).
Covered services must be medically necessary, § 67:16:01:06.02.