S.D. Medicaid Billing and Policy Manual, Hospice Services, Definitions

1. “Assisted living center,” a facility as defined in SDCL 34-12-1.1(2);

2. “Continuous home care day,” a level of care as defined in 42 CFR 418.302 (as amended to

January 1, 2010);

3. “Community support provider,” a nonprofit facility as defined in SDCL 27B-1-17(4);

4. “General inpatient care day,” a level of care as defined in 42 CFR 418.302 (as amended to

January 1, 2010).

5. “Hospice facility,” an agency or organization engaged in providing care to terminally ill

individuals;

6. “Inpatient respite care day,” a level of care as defined in 42 CFR 418.302 (as amended to

January 1, 2010);

7. “Inpatient hospice,” a facility as defined in SDCL 34-12-1.1(10);

8. “ICF-IID,” a facility as defined in ARSD 67:54:03:01;

9. “Nursing facility,” a facility as defined in SDCL 34-12-1.1(7);

10. “Residential hospice,” a facility as defined in SDCL 34-12-1.1(11);

11. “Routine home care day,” a level of care as defined in 42 CFR 418.302 (as amended to January

1, 2010);

12. “Swing bed,” a licensed hospital bed approved by the Department of Health to provide short-term nursing facility care pending the availability of a nursing facility bed; and

13. “Terminally ill,” a medical prognosis that an individual's life expectancy is six months or less if

the illness runs its normal course.