S.D. Admin. R. 67:16:40:18

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

Section 67:16:40:18 - Criteria for terminating coverage - Rehabilitation

An individual's care in a rehabilitation unit becomes a noncovered service if the care manager determines that the individual meets any of the following criteria:

(1) The individual has reached potential in the current setting;

(2) The individual is functional;

(3) The individual's condition is stable to the point of receiving outpatient care or care in an alternative setting; or

(4) The individual is not complying with the recommendations made through the care conference.

S.D. Admin. R. 67:16:40:18

21 SDR 123, effective 1/19/1995.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.