S.D. Admin. R. 67:54:07:01

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

Section 67:54:07:01 - Definitions

Terms used in this chapter mean:

(1) "Case management services," services which are provided on behalf of a client; which are provided by professional staff, such as a case manager, psychologist, or nurse; and which are designed to move the client towards the goals specified in the client's TBI rehabilitation service plan;

(2) "Cognitive training," services provided in a face-to-face encounter with the client which provide instruction and training in perception, judgment, and language and physical, social-emotional, vocation, and independent living skills;

(3) "Interdisciplinary team," a team from the TBI service provider which is responsible for identifying a client's needs and establishing a TBI rehabilitation service plan;

(4) "Preplacement assessment," an evaluation of a client in the areas of cognition, perception, language, physical, social-emotional, vocational, and independent living functions to ensure that TBI services are necessary for the individual to develop the skills to live or work independently in the community;

(5) "Residential setting," the individual's place of residence, which does not include a hospital, penal institution, detention center, school, nursing facility, intermediate care facility for the mentally retarded, or an institution which treats individuals for mental diseases;

(6) "TBI rehabilitation service plan," a written plan which is based on the client's preplacement assessment and contains the specific goals, objectives, and services needed to rehabilitate and move the client into a community independent living or working situation;

(7) "TBI service provider" or "provider," a private organization or a special unit within a facility which provides TBI services under this chapter and is certified by the Department of Human Services as an adjustment training center;

(8) "Traumatic brain injury" or "TBI," damage to living brain tissue which is characterized by altered consciousness, amnesia, paralysis, coma, sensory loss, or cognitive deficits and which impairs an individual's mental or psychosocial abilities;

(9) "Traumatic brain injury services," comprehensive rehabilitation services which are provided in a residential setting or in a community rehabilitation program on a short-term basis, usually not more than 24 months, which are delivered to eligible individuals who no longer demonstrate the need for acute medical care or intensive rehabilitation and whose rehabilitation service plan substantiates the continuing benefit of and the need for specialized services, and which are designed to assist a client to acquire or improve cognition, perception, language, physical, social-emotional, vocational, and independent living skills necessary to function independently at home, on the job, and in the community; and

(10) "Utilization review team," a team consisting of at least two rehabilitation professionals who have experience or knowledge of head trauma such as a physician, a certified rehabilitation counselor from the Department of Human Services, a neuropsychologist, and occupational therapist, a physiatrist, or a psychologist.

S.D. Admin. R. 67:54:07:01

23 SDR 8, effective 7/21/1996.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.