ARSD 67:54:03:04. Determination of need for ICF/IID services -- Initial level of care and annual redetermination

An individual is in need of ICF/IID services if the Inventory for Client and Agency Planning (ICAP) completed under § 67:54:03:05 shows that the individual has a substantial functional limitation in three or more of the following functional areas: (1) Self-care -- the daily activities enabling a person to meet basic life needs for food, hygiene, and appearance; (2) Receptive and expressive language -- communication involving verbal and nonverbal behavior that enables a person to understand others and to express ideas and information to others; (3) Learning/general cognitive competence -- the ability to acquire new behaviors, perceptions, and information and to apply the experiences to new situations; (4) Mobility -- the ability to use fine or gross motor skills to move from one place to another with or without mechanical aids; (5) Self-direction -- the management of one's social and personal life; the ability to make decisions affecting and protecting one's self-interests; (6) Capacity for independent living -- based on age, the ability to live without extraordinary assistance; and (7) Economic self-sufficiency -- the maintenance of financial support. The utilization review team must annually redetermine that the individual continues to need ICF/IID services.