S.D. Admin. R. 67:16:40:20

Current through Register Vol. 51, page 67, December 16, 2024

Section 67:16:40:20 - Criteria for terminating coverage - Long-term care hospital unit

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

(1) The individual no long requires care in a long-term care hospital unit;

(2) The individual meets the requirements for admission to a rehabilitation unit as specified in § 67:16:40:09;

(3) The individual meets the requirements for admission to a nursing home as specified in chapter 67:45:01; or

(4) The individual has not demonstrated continued functional gains for two weeks.

S.D. Admin. R. 67:16:40:20

31 SDR 39, effective 9/29/2004.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.