S.D. Admin. R. 67:16:36:04

Current through Register Vol. 51, page 57, November 12, 2024

Section 67:16:36:04 - Covered services - Limits

Hospice services are limited to the following:

(1) Routine home care provided in a recipient's place of residence, skilled nursing facility, ICF-IID, swing bed, assisted living center, residential hospice, community support provider, or inpatient hospice;

(2) General inpatient care provided in a skilled nursing facility, ICF-IID, swing bed, inpatient hospice, or hospital. The facility must provide 24-hour nursing services with a registered nurse providing direct patient care included in each shift;

(3) Continuous home care provided in a recipient's place of residence, long-term care facility, residential hospice, community support provider, or inpatient hospice; and

(4) For recipients residing in their own homes, assisted living centers, community support providers, or residential hospices, inpatient respite care may be provided at a nursing facility, inpatient hospice, or hospital.

A recipient receiving hospice services in a skilled nursing facility, ICF-IID, swing bed, assisted living center, community support provider, or inpatient hospice must meet the level of care requirements of chapter 67:45:01.

S.D. Admin. R. 67:16:36:04

37 SDR 127, effective 12/27/2010; 40 SDR 122, effective 1/8/2014.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.