Adult Foster Care homes provide room, board and general supervision of personal care services in a family home. Adult Foster Care can meet the needs of adults who require periodic or regular assistance with activities of daily living, but do not require nursing services. Examples of "activities of daily living" include: dressing, bathing, eating, brushing teeth, or combing hair.
Adult Foster Care homes may serve both private-pay and state-pay individuals. The Department of Social Services is responsible for case management services to individuals age 60 and over and receiving state payment. If the individual is under the age of 60, the Department of Human Services' Division of Developmental Disabilities is responsible for payment and case management.
Adult Foster Care providers must provide the following services and items:
Residents are determined eligible for a state Adult Foster Care payment under the same process used for Long-Term Care assistance. Prospective state pay for Adult Foster Care residents must obtain an application from a benefits specialist, through the Division of Economic Assistance, responsible for nursing facility application and must meet the financial requirements.
In addition, the Department of Social Services Medical Review Team must determine an individual is in need of Adult Foster Care Level of Care.
South Dakota law SDCL 28-1-45 (13) requires Adult Foster Care providers to be licensed if they receive reimbursement from state funds. The purpose for licensing these homes is to ensure a safe environment by establishing minimum standards designed to prevent unsanitary living conditions, exploitation and neglect. The Department of Health's Office of Licensure and Certification is responsible for licensing Adult Foster Care homes. The Administrative Rules for licensure of Adult Foster Care are located in Chapter 44:04:19.