S.D. Admin. R. 67:54:06:07

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

Section 67:54:06:07 - Covered services - Case management

Covered case management services include the following:

(1) Determining the consumer's level of functioning, including an assessment of the consumer's knowledge of service needs, appropriate procedures and practices needed to address those needs, the ability to effectively communicate those needs, and the ability to effectively and independently direct and manage the services of a personal attendant on a daily basis;

(2) Determining whether the consumer is in need of personal attendant, consumer preparation, or ancillary services;

(3) Identifying resources currently being utilized to meet the consumer's identified needs and locate and facilitate the use of community resources needed to meet the identified needs;

(4) Informing the consumer about how the provider agency documents the consumer's competency to independently direct and manage a personal attendant;

(5) Working directly with the consumer to develop and implement an individual service plan;

(6) Estimating the cost of the planned services;

(7) Monitoring the provision of services and reviewing the consumer's service plan following the initial six-month period and at least once every 12 months thereafter unless more frequent contact is indicated or if requested by the consumer. The case manager must monitor the consumer's assessment and service plan for continuity of services, changes in the consumer's functioning, appropriateness of care, and quality of the services provided; and

(8) Monitoring the service costs to assure continued cost effectiveness is maintained.

S.D. Admin. R. 67:54:06:07

21 SDR 230, effective 7/13/1995; 26 SDR 99, effective 1/30/2000; 30 SDR 135, effective 3/16/2004.

General Authority: SDCL 28-6-1(1).

Law Implemented: SDCL 28-6-1(1).