Care Management Regulations - Administrative Rule of South Dakota 67:16:40
Care Managers prior authorize in-state and out-of-state rehabilitation
67:16:40:09. Admission requirements -- Rehabilitation care. An individual's admission to a rehabilitation unit is a covered service if the hospital received authorization for the admission under § 67:16:40:04 and the care manager determines that the following criteria are met:
67:16:40:15. Requirements for continued stay -- Rehabilitation care. An individual's continued stay in a rehabilitation unit is a covered service under this chapter if the individual demonstrates weekly improvement in becoming independent in the activities of daily living and is complying with the recommendations made through the care conference.
67:16:40:18. Criteria for terminating coverage -- Rehabilitation. An individual's care in a rehabilitation unit becomes a noncovered service if the care manager determines that the individual meets any of the following criteria: