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South Dakota Medicaid Billing and Policy Manual — Assistive Daily Living Services (ADLS) Waiver, Personal Attendant Services

South Dakotasub-regulatorySouth Dakota Department of Social Services, Division of Medical Services (Medicaid)

What this rule requires your agency to do

  • 1The personal attendant (personal care aide) must limit medication support to assisting the participant with self-administration of medications, not independently administering medications. (ADLS Waiver Manual, Personal Attendant Services — covered tasks ('Assisting with self-administration of medications'))(South Dakota Medicaid Billing and Policy Manual — Assistive Daily Living Services (ADLS) Waiver, Personal Attendant Services)
  • 2The provider must deliver personal attendant services on a participant-directed basis, with the participant recruiting, screening, training, and directing the personal care attendant. (ADLS Waiver Manual, Personal Attendant Services (participant direction))(South Dakota Medicaid Billing and Policy Manual — Assistive Daily Living Services (ADLS) Waiver, Personal Attendant Services)
  • 3The provider must confine personal attendant services to the range of assistance enabling the participant to accomplish tasks the participant would normally do for themselves absent a disability. (ADLS Waiver Manual, Personal Attendant Services (definition))(South Dakota Medicaid Billing and Policy Manual — Assistive Daily Living Services (ADLS) Waiver, Personal Attendant Services)

Applies to: Home care / personal care — participant-directed personal attendant (personal care aide) services in the participant's home

The ADLS Waiver personal attendant (personal care) benefit is a participant-directed HCBS service. Among roughly 40 covered tasks, medication support is limited to assisting the participant with self-administration of medications rather than independent administration. Under the participant-direction model, the participant recruits, screens, trains, and directs the personal care attendant, and services are confined to tasks the participant would otherwise perform absent a disability.

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