S.D. Admin. R. 67:62:15:07

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

Section 67:62:15:07 - Level II determination - Data requirements

The data used for a Level II determination includes:

(1) A comprehensive social and developmental history and physical, including:

(a) Medical history;

(b) Review of body systems;

(c) Evaluation of the individual's neurological system in the areas of motor functioning, sensory functioning, gait, deep tendon reflexes, cranial nerves, and abnormal reflexes; and

(d) Additional evaluations conducted by appropriate specialists in case of abnormal findings;

(2) A comprehensive medication history including current or immediate past use of medications that could mask symptoms or mimic mental illness;

(3) A psychosocial evaluation of the individual, including current living arrangements and medical and support systems;

(4) A comprehensive psychiatric or psychological evaluation including a complete psychiatric and development history; evaluation of intellectual functioning, memory functioning, and orientation; description of current attitudes and overt behaviors; affect, suicidal, or homicidal ideation, paranoia, and degree of reality testing (presence and content of delusions) and hallucinations; and

(5) A functional assessment of the individual's ability to engage in activities of daily living and the level of support that would be needed to assist the individual to perform these activities. This assessment must conclude whether this level of support can be provided to the individual in an alternative community setting or if a nursing facility placement is warranted.

S.D. Admin. R. 67:62:15:07

43 SDR 80, effective 12/5/2016

General Authority: SDCL 1-36-25(4).

Law Implemented: SDCL 1-36-25(4).