S.D. Admin. R. 67:44:03:01

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

Section 67:44:03:01 - 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;

(2) "Adult companion services," nonmedical care, assistance, supervision, and socialization provided to a participant by a companion that is incidental to the care and supervision of the participant and is not for the sole purpose of completing the task for the participant;

(3) "Adult day services," providing regular care, supervision, and structured activities in a non-institutional, community-based setting, including health and social services that are necessary to ensure the optimal functioning of a participant, for a period of less than twenty-four hours per day;

(4) "Assisted living services," services furnished to a participant receiving waiver services who resides in a homelike, noninstitutionalized setting that includes twenty-four-hour, on-site response capability to meet scheduled or unpredictable resident needs and to provide supervision, safety, and security;

(5) "Chore services," services needed to maintain the exterior of a participant's place of residence in a healthy and safe manner or as required by city or county ordinance;

(6) "Community living home," has the same meaning provided in SDCL 34-12-1.1;

(7) "Community transition coordination," a service that assists a participant in obtaining paid and unpaid services to support a successful transition from a nursing home, assisted living facility, or hospital to an approved HOPE waiver setting; or from a provider-owned and -operated setting to a participant's private residence;

(8) "Community transition supports," a service that assists a participant with non-recurring, one-time expenses necessary to provide essential household items or services when a participant transitions from a nursing home, assisted living facility, or hospital to an approved HOPE waiver setting; or from a provider-owned and -operated setting to a participant's private residence;

(9) "Department," the Department of Human Services;

(10) "Environmental accessibility adaptations," physical adaptations made to the private residence of a participant required by the participant's individual support plan, that are necessary to ensure the health, welfare, and safety of the participant, or that enable the participant to function with greater independence within the home;

(11) "Homemaker services," the performance of nonmedical household tasks designed to support a participant who needs assistance to perform the tasks in the participant's home;

(12) "Home and community-based services," services that provide opportunities for a participant to receive long-term services and supports in the participant's home or community rather than in an institution;

(13) "Home-and-community-based Options and Person-centered Excellence (HOPE) waiver services," services reimbursed under 42 U.S.C. §§ 1396 et seq. that are provided in a participant's home or another community-based setting and are designed to prevent or delay placement in a nursing facility;

(14) "Individual support plan (ISP)," a document that lists the services and supports assessed by the department as necessary for a participant and the participant's preference for delivery of those services and supports;

(15) "In-home nursing services," individual and continuous care provided to a participant at home by a licensed nurse;

(16) "In-home respite," supervision of a participant provided in the absence of, or for the relief of, an unpaid caregiver, for no more than thirty consecutive days;

(17) "Meals and nutritional supplements," nutritious meals or nutritional supplements that enhance a participant's diet;

(18) "Personal care services," the performance of hands-on personal care tasks and activities of daily living designed to support a participant who needs assistance to perform the tasks in the participant's home;

(19) "Personal emergency response system," an electronic device that enables a participant to secure help in an emergency;

(20) "Provider," the person, facility, or agency that provides authorized services;

(21) "Residential respite," short-term care and supervision, available to eligible individuals who reside with unpaid caregivers, provided in an assisted living or nursing facility, for a participant who is unable to care for themselves in the absence of, or for the relief of, an unpaid caregiver;

(22) "Qualifying disability," a disability that results in needs requiring long-term services and supports that cannot be provided in a less restrictive environment;

(23) "Specialized medical equipment," devices, controls, or appliances, specified in a participant's individual support plan, that enhance the participant's ability to perform activities of daily living and assist the participant in remaining and living safely in the participant's home;

(24) "Specialized medical supplies," disposable supplies necessary to maintain a participant's health, manage a medical or physical condition, improve functioning, or enhance independence, as specified in the participant's individual support plan; and

(25) "Structured family caregiving," a service that offers a participant the opportunity to reside with a principal caregiver in the participant's home or in the private home of the principal caregiver in order to receive necessary care and supervision.

S.D. Admin. R. 67:44:03:01

15 SDR 191, effective 6/11/1989; 18 SDR 67, effective 10/13/1991; 23 SDR 92, effective 12/10/1996; 28 SDR 96, effective 12/30/2001; 38 SDR 123, effective 1/23/2012; 51 SDR 036, effective 9/30/2024

General Authority: SDCL 1-36A-26.

Law Implemented: SDCL 1-36A-25, 1-36A-26.