S.D. Admin. R. 67:54:05:02

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

Section 67:54:05:02 - Eligibility for medical assistance

An individual with a mental disease is eligible for medical assistance if the following criteria are met:

(1) The individual is eligible for Medicaid under article 67:46;

(2) The service is a covered Medicaid service under article 67:16;

(3) The utilization control team has determined that the individual has a severe mental illness and requires care in a nursing facility for individuals with a mental disease;

(4) The annual redetermination of the need for continued care, if applicable, is current; and

(5) The facility meets the individual's needs.

S.D. Admin. R. 67:54:05:02

20 SDR 170, effective 4/18/1994.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.