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South Dakota Medicaid Billing and Policy Manual — HOPE Waiver (Home and Community Based Options and Person-Centered Excellence): Assessment and Individual Support Plan Requirements

South Dakotasub-regulatorySouth Dakota Department of Human Services, Division of Long-Term Services and Supports (LTSS) / SD Department of Social Services, Medicaid

What this rule requires your agency to do

  • 1The agency must develop the ISP collaboratively with the participant, the LTSS Case Management Specialist, and any family, friends, or supports the participant requests to include. (HOPE Waiver Manual — Individual Support Plan (ISP))(South Dakota Medicaid Billing and Policy Manual — HOPE Waiver (Home and Community Based Options and Person-Centered Excellence): Assessment and Individual Support Plan Requirements)
  • 2The agency must conduct ongoing monitoring through quarterly telephone contacts at three and nine months and an in-home visit at six months. (HOPE Waiver Manual — Individual Support Plan (ISP))(South Dakota Medicaid Billing and Policy Manual — HOPE Waiver (Home and Community Based Options and Person-Centered Excellence): Assessment and Individual Support Plan Requirements)
  • 3The provider must ensure the participant has an ISP on file with the Division of Long-Term Services and Supports before providing waiver services. (HOPE Waiver Manual — General Coverage Principles)(South Dakota Medicaid Billing and Policy Manual — HOPE Waiver (Home and Community Based Options and Person-Centered Excellence): Assessment and Individual Support Plan Requirements)
  • 4The agency (DHS LTSS Case Management Specialist) must complete the standardized Home Care Assessment (HCA) together with the HOPE Waiver participant in the participant's home. (HOPE Waiver Manual — Eligibility Determination Process Overview)(South Dakota Medicaid Billing and Policy Manual — HOPE Waiver (Home and Community Based Options and Person-Centered Excellence): Assessment and Individual Support Plan Requirements)
  • 5The agency must complete the Individual Support Plan (ISP) at least annually, or sooner as the participant's needs change. (HOPE Waiver Manual — Individual Support Plan (ISP))(South Dakota Medicaid Billing and Policy Manual — HOPE Waiver (Home and Community Based Options and Person-Centered Excellence): Assessment and Individual Support Plan Requirements)

Applies to: home care / personal care services under the HOPE HCBS waiver

The HOPE Waiver provider manual governs assessment and reassessment for South Dakota's aged/disabled home- and community-based personal care waiver. A DHS LTSS Case Management Specialist completes the standardized Home Care Assessment (HCA) with the participant in the home, and an Individual Support Plan (ISP) must be developed collaboratively and completed at least annually or when needs change. Ongoing monitoring includes quarterly telephone contacts and a six-month in-home visit, and each participant must have an ISP on file with the Division of LTSS.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.