reglab/statecodes huggingface dataset:
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:11 - Prevention program › Section 67:61:11:07 - Record of activities

Current through Register Vol. 51, page 10, July 15, 2024
An agency conducting prevention services shall maintain a record of all
	 prevention activities provided in accordance with the described program
	 content. Each record must include:
(1)
  A list of presenters;
(2) A list of
  participants involved using non-identifiable information;
(3) Demographic characteristics of
  participants, including:
(a)
  Age;
(b) Race/ethnicity;
(c) Gender;
(d) Type of prevention populations, such as
  universal, selective, or indicated; and
(e) Any other information as requested by the
  department;
(4) A record of all
  program activities; and
(5) A copy
  of the programmatic materials.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(3)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:11 - Prevention program › Section 67:61:11:08 - Quality assurance and evaluation

Current through Register Vol. 51, page 10, July 15, 2024
An agency shall conduct a quality assurance review of its prevention
	 programming to monitor, protect, and enhance the quality and appropriateness of
	 its programming and to identify qualitative problems and recommend plans for
	 correcting each problem. The agency shall conduct the following:
(1) Annual satisfaction surveys of all
  individuals or stakeholders who requested and participated in prevention
  services;
(2) Participant
  evaluations after each prevention presentation the agency provides;
  and
(3) Pre- and post-tests for all
  evidence-based curricula presented to individuals.
A summary of these reports must be made available to the board of
	 directors or agency staff annually, and to the department and community
	 members, upon request.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(2)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:12 - Early intervention program › Section 67:61:12:01 - Eligibility criteria

Current through Register Vol. 51, page 10, July 15, 2024
To be eligible for early intervention services, the client must not be
	 at risk for withdrawal; either has no or has very stable biomedical conditions;
	 or either has no or has very stable emotional, behavioral, or cognitive
	 conditions; and must meet one of the following:
(1) The client lacks an understanding of, or
  skills to change, current substance use patterns or high-risk behaviors or
  both;
(2) The client's risk of
  initiation of, or progression in substance use patterns or high-risk behaviors,
  or both, is increased by substance use or values about use; or
(3) The client's social support system or
  significant others, or both, increase the risk of a substance use.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:12 - Early intervention program › Section 67:61:12:02 - Services provided

Current through Register Vol. 51, page 10, July 15, 2024
The program may provide each individual with a variety of services, but
	 it must provide the following:
(1)
  Initial screening and planning within forty-eight hours of initial contact. The
  initial screening must be recorded in the client's case record and include:
(a) The client's current problems and
  needs;
(b) The client's emotional
  and physical state, including screening for the presence of cognitive
  disability, mental illness, medical disorders, collateral information, and
  prescribed medications;
(c) The
  client's drug and alcohol use, including the types of substances used, whether
  prescribed or over the counter medications, the age of first use, the amount
  used, the frequency of use, the date of last use, and the duration of use;
  and
(d) A statement of the intended
  course of action;
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:12 - Early intervention program › Section 67:61:12:03 - Reimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
Reimbursable services are limited to face-to-face and telehealth
	 contacts for the purpose of providing services pursuant to §
									67:61:12:02.
Reimbursable services for eligible Medicaid clients are limited to
	 services provided under chapter 67:16:48.
General Authority:
SDCL
		34-20A-27(1)(4).
Law Implemented:
SDCL
		34-20A-27.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:12 - Early intervention program › Section 67:61:12:04 - Nonreimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
The following are nonreimbursable services under this chapter:
(1) Services that are solely recreational in
  nature;
(2) Time spent preparing
  paperwork from client assessments or clinical documentation; and
(3) Time spent traveling.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:13 - Outpatient treatment program › Section 67:61:13:01 - Eligibility criteria

Current through Register Vol. 51, page 10, July 15, 2024
To be eligible for the outpatient treatment program, the client shall
	 meet the following criteria:
(1) The
  client either has no or has a minimal risk for severe withdrawal;
(2) The client either has no or has very
  stable biomedical conditions, or is receiving concurrent medical
  monitoring;
(3) The client's
  emotional, behavioral, or cognitive conditions are causing minimal interference
  with substance use recovery, difficulties in social functioning, and the
  ability to care for himself or herself;
(4) The client is willing to engage in
  treatment, but needs motivational and monitoring strategies to promote progress
  through the stages of change;
(5)
  The client is able to maintain abstinence or control substance use and pursue
  recovery or motivational goals with minimal support;
(6) The client's recovery environment is
  supportive; and
(7) The client has
  the skills to cope.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:13 - Outpatient treatment program › Section 67:61:13:02 - Services provided

Current through Register Vol. 51, page 10, July 15, 2024
The outpatient treatment program may provide its clients with a variety
	 of treatment services, but it must provide:
(1) An integrated assessment, pursuant to
  §
									67:61:07:05;
(2) Crisis intervention;
(3) Any combination of individual, group, and
  family counseling including:
(a) Education
  regarding substance abuse and dependence, including the biomedical effects of
  drug and alcohol use and abuse and the importance of medical care and treatment
  in the recovery process; and
(b)
  Education regarding tuberculosis and the human immunodeficiency virus, how each
  is transmitted, and how to safeguard against transmission;
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:13 - Outpatient treatment program › Section 67:61:13:03 - Intensity of services

Current through Register Vol. 51, page 10, July 15, 2024
The outpatient treatment program may provide to each client any
	 combination of individual, group, or family counseling services, of any
	 intensity and frequency, as required by the continued service criteria,
	 pursuant to §
									67:61:07:07. If counseling is
	 provided, these services must be less than nine hours in a one-week period, for
	 adults. Services for adolescents must be less than six hours in a one-week
	 period.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:13 - Outpatient treatment program › Section 67:61:13:04 - Reimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
Reimbursable services are limited to face-to-face and telehealth
	 contacts for the purpose of providing services pursuant to§
									67:61:13:02.
Reimbursable services for eligible Medicaid clients are limited to
	 services provided under chapter 67:16:48.
General Authority:
SDCL
		34-20A-27(1)(4).
Law Implemented:
SDCL
		34-20A-27.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:13 - Outpatient treatment program › Section 67:61:13:05 - Nonreimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
The following are nonreimbursable services under this chapter:
(1) Driving Under the Influence and Driving
  While Intoxicated education courses;
(2) Services that are solely recreational in
  nature;
(3) Time spent preparing
  paperwork from client assessments or clinical documentation;
(4) Time spent traveling; and
(5) Community twelve step programs.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:14 - Intensive outpatient treatment program › Section 67:61:14:01 - Eligibility criteria

Current through Register Vol. 51, page 10, July 15, 2024
To be eligible for intensive outpatient program services:
(1) The client must be at minimal risk of
  severe withdrawal;
(2) The client
  either has no or has very stable biomedical conditions, which are not a
  distraction from treatment;
(3) The
  client has mild emotional, behavioral, or cognitive conditions, which may
  distract from recovery and need monitoring; and
(4) The client must meet one of the
  following:
(a) The client has variable
  engagement in treatment, ambivalence, or a lack of awareness of the substance
  use or mental health problem, and requirement of a structured program to
  promote progress through the stages of change;
(b) The client's substance use or mental
  health symptoms, or both, have intensified and indicate a high-likelihood of
  relapse or continued use, without close monitoring or support; or
(c) The client has a non-supportive recovery
  environment, but is able to cope with structure and support.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:14 - Intensive outpatient treatment program › Section 67:61:14:02 - Services provided

Current through Register Vol. 51, page 10, July 15, 2024
The intensive outpatient program may provide its clients with a variety
	 of treatment services, but it must provide:
(1) An integrated assessment, pursuant to
  §
									67:61:07:05;
(2) Crisis intervention;
(3) Individual, group, and family counseling
  including:
(a) Education regarding alcohol and
  drug abuse and dependence, including the biomedical effects of drug and alcohol
  use and abuse and the importance of medical care and treatment in the recovery
  process; and
(b) Education
  regarding tuberculosis and the human immunodeficiency virus, how each is
  transmitted, and how to safeguard against transmission;
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:14 - Intensive outpatient treatment program › Section 67:61:14:03 - Intensity of services

Current through Register Vol. 51, page 10, July 15, 2024
The intensive outpatient program shall provide any combination of
	 individual, group, or family counseling two or more times per week to each
	 client. Each adult client must be provided with a minimum of nine hours of
	 these services per week. Each adolescent client must be provided with a minimum
	 of six hours of these services per week.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:14 - Intensive outpatient treatment program › Section 67:61:14:04 - Reimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
Reimbursable services are limited to face-to-face and telehealth
	 contacts for the purpose of providing services pursuant to §
									67:61:14:02.
Reimbursable services for eligible Medicaid clients are limited to
	 services provided under chapter 67:16:48.
General Authority:
SDCL
		34-20A-27(1)(4).
Law Implemented:
SDCL
		34-20A-27.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:14 - Intensive outpatient treatment program › Section 67:61:14:05 - Nonreimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
The following are nonreimbursable services under this chapter:
(1) Driving Under the Influence and Driving
  While Intoxicated education courses;
(2) Services that are solely recreational in
  nature;
(3) Time spent preparing
  paperwork from client assessments or clinical documentation;
(4) Time spent traveling; and
(5) Community twelve step programs.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:15 - Day treatment program › Section 67:61:15:01 - Eligibility criteria

Current through Register Vol. 51, page 10, July 15, 2024
To be eligible for day treatment program services:
(1) The client must be experiencing mild
  withdrawal or is at risk for withdrawal;
(2) The client either has no or has very
  stable biomedical conditions, which are not a distraction from
  treatment;
(3) The client has mild
  emotional, behavioral, or cognitive conditions, which may distract from
  recovery and need stabilization; and
(4) The client must meet one of the
  following:
(a) The client requires a
  structured program to promote progress through the stages of change;
(b) The client is at high risk of relapse or
  continued use, and deterioration in the level of functioning; or
(c) The client's environment renders recovery
  unlikely, without structured monitoring and support.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:15 - Day treatment program › Section 67:61:15:02 - Services provided

Current through Register Vol. 51, page 10, July 15, 2024
The day treatment program shall provide its clients with a variety of
	 treatment services that must include:
(1) An integrated assessment, pursuant to
  §
									67:61:07:05;
(2) Individual, group, and family counseling
  including:
(a) Education regarding alcohol and
  drug abuse and dependence, including the biomedical effects of drug and alcohol
  use and abuse and the importance of medical care and treatment in recovery;
  and
(b) Education regarding
  tuberculosis and the human immunodeficiency virus, how each is transmitted, and
  how to safeguard against transmission;
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:15 - Day treatment program › Section 67:61:15:03 - Intensity of services

Current through Register Vol. 51, page 10, July 15, 2024
The day treatment program for adults and adolescents shall provide a
	 minimum of fifteen hours of any combination of individual, group, or family
	 counseling services per week, to each client. A day treatment program for
	 adults shall provide a minimum of five hours of additional services per week,
	 on specialized topics that address the specific needs of the client. The
	 additional services must be identified on the client's treatment plan or
	 continued stay review. These services must be provided by an individual trained
	 in the specific topic presented.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:15 - Day treatment program › Section 67:61:15:04 - Reimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
Reimbursable day treatment program services are limited to face-to-face
	 contacts, for the purpose of providing services, pursuant to §
									67:61:15:02. Services are
	 reimbursed through a per diem rate and are not eligible to be reimbursed
	 through a fifteen minute unit.
Reimbursable services for eligible Medicaid clients are limited to
	 services provided under chapter 67:16:48.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:15 - Day treatment program › Section 67:61:15:05 - Nonreimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
The following are nonreimbursable services under this chapter:
(1) Billing for a client that exceeds the
  accredited bed capacity established by the department for clients residing in a
  residential day treatment program;
(2) Driving Under the Influence and Driving
  While Intoxicated education courses;
(3) Services that are solely recreational in
  nature;
(4) Time spent preparing
  paperwork from client assessments or clinical documentation;
(5) Time spent traveling; and
(6) Community twelve step programs.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:16 - Clinically-managed low-intensity residential treatment program › Section 67:61:16:01 - Eligibility criteria

Current through Register Vol. 51, page 10, July 15, 2024
To be eligible for clinically-managed, low-intensity residential
	 treatment program services:
(1) The
  client must be at risk of or experiencing minimal withdrawal;
(2) The client either has no or has very
  stable biomedical conditions;
(3)
  The client either has no or has very stable emotional, behavioral, or cognitive
  conditions;
(4) The client requires
  a structured environment to promote progress through the stages of
  change;
(5) The client needs
  structure to reinforce recovery and relapse prevention skills; and
(6) The client's recovery environment poses a
  threat to safety or engagement in treatment, or both.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(3)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:16 - Clinically-managed low-intensity residential treatment program › Section 67:61:16:02 - Services provided

Current through Register Vol. 51, page 10, July 15, 2024
The clinically-managed, low-intensity residential treatment program may
	 provide its clients with a variety of treatment services, but it must
	 provide:
(1) An integrated assessment,
  pursuant to §
									67:61:07:05;
(2) Individual, group, and family counseling,
  which may include:
(a) Education regarding
  alcohol and drug abuse and dependence, including the biomedical effects of drug
  and alcohol use and abuse and the importance of medical care and treatment in
  recovery; and
(b) Education
  regarding tuberculosis and the human immunodeficiency virus, how each is
  transmitted, and how to safeguard against transmission;
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:16 - Clinically-managed low-intensity residential treatment program › Section 67:61:16:03 - Intensity of services

Current through Register Vol. 51, page 10, July 15, 2024
A clinically-managed, low-intensity residential treatment program must
	 provide each client a minimum of five hours of any combination of individual,
	 group, or family counseling each week.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:16 - Clinically-managed low-intensity residential treatment program › Section 67:61:16:04 - Admission medical examination

Current through Register Vol. 51, page 10, July 15, 2024
A person admitted to a clinically-managed, low-intensity residential
	 treatment program shall have received a medical examination conducted by or
	 under the supervision of a licensed physician, within the three months before
	 admission. The agency shall require that the results of the examination be
	 provided to the program, before or at the time of admission.
If an examination has not been conducted or the results are not
	 available, the program shall assure that a medical examination occurs within
	 five calendar days after admission. The results of all medical examinations
	 must be placed in the case record. The staff shall consider the client's
	 medical health in the development of the treatment plan.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:16 - Clinically-managed low-intensity residential treatment program › Section 67:61:16:05 - Reimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
Reimbursable services are limited to face-to-face contacts for the
	 purpose of providing services pursuant to §
									67:61:16:02. Room and board is
	 reimbursed through a per diem rate.
Documentation that the client was at the facility at the time of the
	 daily census must be available to support billing.
Reimbursable services for eligible Medicaid clients are limited to
	 services provided under chapter 67:16:48.
General Authority:
SDCL
		34-20A-27(1)(4).
Law Implemented:
SDCL
		34-20A-27.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:16 - Clinically-managed low-intensity residential treatment program › Section 67:61:16:06 - Nonreimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
The following are nonreimbursable services under this chapter:
(1) Billing for a client that exceeds the
  accredited bed capacity established by the department;
(2) Driving Under the Influence and Driving
  While Intoxicated education courses;
(3) Services that are solely recreational in
  nature;
(4) Time spent preparing
  paperwork from client assessments or clinical documentation;
(5) Time spent traveling; and
(6) Community twelve step programs.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:01 - Eligibility criteria

Current through Register Vol. 51, page 10, July 15, 2024
To be eligible for clinically-managed, residential detoxification
	 program services:
(1) The client must
  be experiencing signs and symptoms of withdrawal that is manageable in this
  level of care; or
(2) There must be
  evidence that withdrawal is imminent, based on the client's history of
  substance intake, previous withdrawal history, present symptoms, physical
  conditions, or emotional, behavioral, or cognitive condition.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(3)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:02 - Information required to be obtained at time of admission

Current through Register Vol. 51, page 10, July 15, 2024
An agency admitting a client to the clinically-managed, residential
	 detoxification program must obtain the information required by §
									67:61:17:07(1),
	 and record the following observations and information in the client's case
	 record:
(1) Blood pressure, pulse, and
  respiration;
(2) Presence of
  bruises, lacerations, cuts, or wounds;
(3) Medications the client is currently
  taking, particularly sedative use;
(4) Medications carried by the client or
  found on the client's person;
(5)
  Any history of diabetes, seizure disorders, including epilepsy, delirium
  tremens, and any client history of having undergone convulsive
  therapies
(6) Any history of
  exposure to tuberculosis and any current signs or symptoms of the
  disease;
(7) Any history of
  medical, psychological, or psychiatric treatment; and
(8) Any symptoms of mental illness currently
  present.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:03 - Agreement with hospital for emergency care

Current through Register Vol. 51, page 10, July 15, 2024
An agency shall have a written affiliation agreement, with a licensed
	 hospital serving the area in which the clinically-managed, residential
	 detoxification program is located, to provide emergency, inpatient, and
	 ambulatory medical services. The agreement must specify that the hospital
	 consents to accept all transfers for prompt medical evaluation. Documentation
	 of the reason for the transfer must accompany all transferred clients, as well
	 as the documented history of each client's vital signs. Disclosure of
	 information about clients to the hospital must be in compliance with the
	 requirements of 42 U.S.C.
	 §§
										290dd-2, in effect on March 27,
	 2020, 42 C.F.R. Part 2, in effect on January 18, 2017, and, 45 C.F.R. Part 160
	 and 164, in effect on September 26, 2016.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:04 - Availability of medical director

Current through Register Vol. 51, page 10, July 15, 2024
An agency must have a written agreement with a licensed physician,
	 physician assistant, or certified nurse practitioner to serve as the medical
	 director, or employ a licensed physician who is primarily responsible for
	 providing medical care to clients under the clinically-managed, residential
	 detoxification program. The medical director's responsibilities to the
	 clinically-managed, residential detoxification program include:
(1) Providing advice on health-related
  policies and issues;
(2) Providing
  emergency medical care to admitted clients; and
(3) Supervising the medical treatment
  provided to the clients.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:05 - Monitoring and documentation of client's condition

Current through Register Vol. 51, page 10, July 15, 2024
The clinically-managed, residential detoxification program shall
	 establish a written policy and procedure concerning the steps staff shall take
	 when assessing and monitoring a client's physical condition and responding to
	 medical complications throughout the detoxification process.
Staff shall closely monitor the condition of each client during
	 detoxification and document the following information in the client's case
	 record:
(1) Blood pressure, pulse, and
  respiration at admission, a minimum of two additional times in the first eight
  hours after admission, or at a greater frequency dependent on the degree of
  hypertension or hypotension, and at least once every eight hours
  thereafter;
(2) Physical, mental,
  and emotional state, including presence of confusion, anxiety, depression,
  hallucinations, restlessness, sleep disturbances, tremors, ataxia, or excessive
  perspiration; and
(3) Type and
  amount of fluid intake.
Any staff member who is assessing, monitoring, or responding to a
	 client's condition, must be trained to perform the tests.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:06 - Emergency first aid training

Current through Register Vol. 51, page 10, July 15, 2024
Any counseling and client supervisory staff of the clinically-managed,
	 residential detoxification program shall be trained in emergency first aid and
	 cardiopulmonary resuscitation, and trained to respond to fires and other
	 natural disasters. Current certificates verifying successful completion of
	 training must be kept in the personnel file.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(5).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:07 - Services provided

Current through Register Vol. 51, page 10, July 15, 2024
The clinically-managed, residential detoxification program may provide
	 its clients with a variety of treatment services, but it must provide:
(1) Initial assessment and planning within
  forty-eight hours of admission. The initial assessment must be recorded in the
  client's case record and include:
(a) The
  client's current problems and needs;
(b) The client's emotional and physical
  state, including screening for the presence of cognitive disability, mental
  illness, medical disorders, collateral information, and prescribed
  medications;
(c) The client's drug
  and alcohol use, including the types of substances used, both prescribed and
  over the counter medications, age of first use, the amount used, the frequency
  of use, the date of last use, the duration of use, and the criteria met for a
  diagnosis of use disorder for each substance; and
(d) A statement of the intended course of
  action;
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:08 - Intensity of services

Current through Register Vol. 51, page 10, July 15, 2024
The clinically-managed, residential detoxification program shall
	 provide a minimum of thirty minutes of any combination of the services listed
	 in subsections §
									67:61:17:07(2)(a)(b)(c)(d),
	 within forty-eight hours of admission, with an additional thirty minute minimum
	 for each subsequent twenty-four hour period.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:09 - Reimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
Reimbursable services are limited to face-to-face contacts for the
	 purpose of providing services pursuant to §
									67:61:17:07. Services are
	 reimbursed through a 12 hour unit rate and are not eligible to be reimbursed
	 through a 15 minute unit.
Reimbursable services for eligible Medicaid clients are limited to
	 services provided under chapter 67:16:48.
General Authority:
SDCL
		34-20A-27(1)(4).
Law Implemented:
SDCL
		34-20A-27.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:17 - Clinically-managed residential detoxification program › Section 67:61:17:10 - Nonreimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
The following are nonreimbursable services under this chapter:
(1) Driving Under the Influence and Driving
  While Intoxicated education courses;
(2) Services that are solely recreational in
  nature;
(3) Time spent preparing
  paperwork from client assessments or clinical documentation;
(4) Time spent traveling; and
(5) Community twelve step programs.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:18 - Medically-monitored intensive inpatient treatment program › Section 67:61:18:01 - Eligibility criteria

Current through Register Vol. 51, page 10, July 15, 2024
To be eligible for medically-monitored, inpatient treatment, it must be
	 determined that:
(1) The client is
  experiencing moderate to severe withdrawal or is at risk of severe withdrawal
  based on previous withdrawal history; the client's continued substance use
  causes imminent risk to biomedical conditions; or the client's continued
  substance use causes imminent risk to emotional, behavioral, and cognitive
  conditions; and
(2) The client
  requires intensive monitoring and support to promote progress through the
  stages of change; the client is in immediate danger of continued severe
  substance use or relapse and such behaviors present significant risk of serious
  adverse consequences to the client, to others, or both; or the client's
  recovery environment poses a threat to safety or engagement in treatment or
  both.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(3)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:18 - Medically-monitored intensive inpatient treatment program › Section 67:61:18:02 - Medical evaluations and vital signs

Current through Register Vol. 51, page 10, July 15, 2024
A medically-monitored, inpatient treatment program must meet the
	 following requirements:
(1) At the
  time of admission, each client's blood pressure, pulse, and respiration must be
  evaluated by staff trained to perform these tests and recorded in the client's
  case record;
(2) Within eight hours
  after admission, each client must receive a medical evaluation conducted by a
  registered nurse or licensed practical nurse. The results of this medical
  evaluation must be provided to the program physician. The program physician
  shall assess whether the client needs an immediate and more extensive
  examination before determining the appropriateness of the admission. The
  program physician's approval must be documented in the client's case record
(a) The medical evaluation must include:
(i) A second reading of blood pressure,
  pulse, and respiration;
(ii)
  Assessment of mental and emotional status;
(iii) An identification of bruises,
  lacerations, cuts, wounds, and other medical conditions;
(iv) Documentation of current medication use
  and medications being carried by the client; and
(v) Any history of diabetes, seizure
  disorders, including epilepsy and delirium tremens, and any history of having
  undergone convulsive therapies; and
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:18 - Medically-monitored intensive inpatient treatment program › Section 67:61:18:03 - Availability of medical director

Current through Register Vol. 51, page 10, July 15, 2024
An agency must have a written agreement with a licensed physician,
	 physician assistant, or certified nurse practitioner to serve as the medical
	 director, or employ a licensed physician who is primarily responsible for
	 providing medical care to the clients under the medically-monitored, inpatient
	 treatment program. The medical director's responsibilities to the
	 medically-monitored, inpatient treatment program include:
(1) Providing advice on health-related
  policies and issues;
(2) Providing
  emergency medical care to admitted clients;
(3) Supervising the performance of the
  medical examination and laboratory tests required upon the client's admission
  to the program; and
(4) Supervising
  the medical treatment provided to the clients.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4)(6).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:18 - Medically-monitored intensive inpatient treatment program › Section 67:61:18:04 - Services provided

Current through Register Vol. 51, page 10, July 15, 2024
The medically-monitored, inpatient treatment program may provide its
	 clients with a variety of treatment services, but it must provide:
(1) An integrated assessment, pursuant to
  §
									67:61:07:05;
(2) Individual, group, and family counseling
  including:
(a) Education regarding alcohol
  and drug abuse and dependence, including the biomedical effects of drug and
  alcohol use and abuse and the importance of medical care and treatment in
  recovery; and
(b) Education
  regarding tuberculosis and the human immunodeficiency virus, how each is
  transmitted, and how to safeguard against transmission;
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:18 - Medically-monitored intensive inpatient treatment program › Section 67:61:18:05 - Intensity of services

Current through Register Vol. 51, page 10, July 15, 2024
A medically-monitored, intensive inpatient treatment program for adults
	 must provide daily, to each client, a combination of individual, group, or
	 family counseling, which must total a minimum of twenty-one hours per
	 week.
The program must provide a minimum of nine hours of additional services
	 on specialized topics that address the specific needs of the client. The
	 additional services must be identified on the client's treatment plan or
	 continued stay review. These services must be provided by an individual trained
	 in the specific topic presented.
A medically monitored, intensive inpatient treatment program for
	 adolescents must include at least fifteen hours per week of any combination of
	 individual, group, or family counseling services.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:18 - Medically-monitored intensive inpatient treatment program › Section 67:61:18:06 - Reimbursable services

Current through Register Vol. 51, page 10, July 15, 2024
Reimbursable medically-monitored, intensive inpatient treatment program
	 services are limited to face-to-face contacts for the purpose of providing
	 services, pursuant to §
									67:61:18:04. Services are
	 reimbursed through a per diem rate and are not eligible to be reimbursed
	 through a fifteen minute unit.
Documentation that the client was at the facility at the time of the
	 daily census must be available to support billing.
Reimbursable services for eligible Medicaid clients are limited to
	 services provided under chapter 67:16:48.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:61 - Substance Use Disorders › Chapter 67:61:18 - Medically-monitored intensive inpatient treatment program › Section 67:61:18:07 - Nonreimbursable Services

Current through Register Vol. 51, page 10, July 15, 2024
The following are nonreimbursable services under this chapter:
(1) Billing for a client that exceeds the
  accredited bed capacity established by the department;
(2) Driving Under the Influence and Driving
  While Intoxicated education courses;
(3) Services that are solely recreational in
  nature;
(4) Time spent preparing
  paperwork from client assessments or clinical documentation;
(5) Time spent traveling; and
(6) Community twelve step programs.
General Authority:
SDCL
		1-36-25,
		34-20A-27.
Law Implemented:
SDCL
		1-36-25,
		34-20A-27(1)(4).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:62 - Mental Health › Chapter 67:62:02 - Accreditation › Section 67:62:02:01 - Definitions

Current through Register Vol. 51, page 10, July 15, 2024
Terms used in this chapter mean:
(1) "Comprehensive survey," a planned,
  on-site survey of the center, by a team of representatives from the department,
  for the purposes of evaluating compliance with standards for accreditation
  renewal and assessing the quality of services provided;
(2) "Plan of correction," a plan created by a
  center to organize the process of making improvements in clinical or
  administrative practice, in order to address issues that are identified by the
  department and require corrective action or improvement to meet the
  requirements of this article;
(3)
  "Probation," a status of restricted accreditation of a center that fails to
  follow the requirements for accreditation;
(4) "Revocation," the permanent withdrawing
  of a center's accreditation by the department;
(5) "Root cause analysis," a process to
  identify the fundamental reason for a failure or inefficiency of process that
  allowed for a mistake, including the occurrence or possible occurrence of a
  sentinel event, to determine how to change procedures so mistakes are less
  likely, and then make the change;
(6) "Suspension," the temporary withdrawing
  of a center's accreditation by the department.
General Authority:
SDCL
		27A-5-1.
Law Implemented:
SDCL
		27A-3-1,
		27A-5-1(5).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:62 - Mental Health › Chapter 67:62:02 - Accreditation › Section 67:62:02:02 - Access by the department.

Current through Register Vol. 51, page 10, July 15, 2024
The department shall monitor each center for continued compliance with
	 this article, regardless of the term of a center's accreditation certificate. A
	 center is subject to review, without notice, by the department. A center shall
	 provide the department with complete access to all clients and staff, and to
	 all financial and administrative program records needed to determine whether
	 the center meets the requirements of SDCL title 27A and this article. The
	 department may review and copy records in compliance with this
	 article.
General Authority:
SDCL
		27A-5-1.
Law Implemented:
SDCL
		27A-3-1,
		27A-5-1.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:62 - Mental Health › Chapter 67:62:02 - Accreditation › Section 67:62:02:03 - Application for accreditation

Current through Register Vol. 51, page 10, July 15, 2024
An agency seeking to operate as an accredited community mental health
	 center shall submit an application for accreditation to the department. The
	 department shall make accreditation application forms available upon request.
	 The department shall return and not consider an incomplete application
	 submitted by an agency.
The department shall provide the necessary application forms to a
	 center seeking renewal of accreditation at least sixty days before the
	 expiration of the center's current accreditation.
General Authority:
SDCL
		27A-5-1.
Law Implemented:
SDCL
		27A-5-1(2).
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:62 - Mental Health › Chapter 67:62:02 - Accreditation › Section 67:62:02:04 - Policies and procedures subject to approval

Current through Register Vol. 51, page 10, July 15, 2024
All center policies, procedures, and other requirements listed in
	 article 67:62 are subject to the approval of the department as part of the
	 accreditation process.
General Authority:
SDCL
		1-36-25,
		27A-5-1.
Law Implemented:
SDCL
		1-36-25,
		27A-5-1.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:62 - Mental Health › Chapter 67:62:02 - Accreditation › Section 67:62:02:05 - Provisional accreditation and comprehensive survey

Current through Register Vol. 51, page 10, July 15, 2024
The department may grant provisional accreditation to a center seeking
	 accreditation for the first time or to a center previously accredited to regain
	 accreditation. A provisional accreditation certificate may only be issued upon
	 submission of a completed application and a preliminary comprehensive survey by
	 the department to determine compliance with this article and the requirements
	 of SDCL title 27A.
A provisional accreditation expires after six months and may not be
	 extended, except with the approval of the department to accommodate department
	 scheduling delays, not to exceed an additional three months. A follow-up,
	 comprehensive survey must be conducted prior to the expiration of the
	 provisional accreditation, to determine if the requirements of SDCL title 27A
	 and this article have been met. At that time, the department shall:
(1) Grant a one year accreditation
  certificate for a new center;
(2)
  Grant accreditation up to the end date of the original certification for a
  currently accredited center; or
(3)
  Deny accreditation.
General Authority:
SDCL
		1-36-25,
		27A-5-1.
Law Implemented:
SDCL
		1-36-25(1),
		27A-5-1.
South Dakota Administrative Rules › Title 67 - Department of Social Services › Article 67:62 - Mental Health › Chapter 67:62:02 - Accreditation › Section 67:62:02:06 - Extension of accreditation period

Current through Register Vol. 51, page 10, July 15, 2024
The department may extend the period of accreditation to accommodate
	 department on-site scheduling delays. The department shall document and
	 maintain the reason for the extension. No extension shall exceed a period of
	 one year beyond the certificate expiration date.
General Authority:
SDCL
		1-36-25,
		27A-5-1.
Law Implemented:
SDCL
		1-36-25(1),
		27A-5-1.