S.D. Admin. R. 46:11:13:03 - Level II review exemptions

An individual is exempt from a Level II review if at least one of the following occurs:

(1) The diagnosis of an intellectual disability or developmental disability is unsubstantiated;

(2) An individual is readmitted to a Medicaid certified swing bed or nursing facility from a hospital to which the individual was transferred for the purpose of receiving care;

(3) An individual is transferred from a Medicaid certified swing bed or nursing facility to another and a PASRR has previously been completed;

(4) The physician identifies the need for convalescent care following hospitalization for a duration of less than 100 days; or

(5) A physician ordered respite stay of 30 days or less.

The Department of Social Services shall complete a Level I screening form to notify appropriate parties of the determination of the exemption.

Notes

S.D. Admin. R. 46:11:13:03

40 SDR 102, effective 12/3/2013; 40 SDR 229, effective 6/30/2014.

General Authority: SDCL 27B-2-26(8).

Law Implemented: SDCL 27B-2-26.