Lynne A. Valenti
Cabinet Secretary

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Home and Community Based Services

South Dakota has four Medicaid 1915(c) waivers operated by the Departments of Social Services and Human Services. Each Waiver targets a specific population and provides a menu of services to meet the needs of the target population:

Waiver Renewal Information

Home and Community Based Services Statewide Transition Plan

On January 16, 2014, the Centers for Medicare and Medicaid Services (CMS) released a final rule regarding Home and Community-Based Services (HCBS) Setting requirements. The final rule establishes an outcome-oriented definition of home and community based settings, as opposed to previous definitions that were based solely on a setting's location, geography or physical characteristics. The intent of this is to ensure individuals in Medicaid's HCBS waiver programs receive services and supports in the most integrated setting and have full access to the benefits of community living.

The final rule requires that all home and community-based residential settings meet certain qualifications including:

  • Community Integration and Access
  • Ensure Individual Rights of Privacy, Dignity, and Respect
  • Freedom from Coercion and Restraint
  • Optimized Autonomy  and Independence
  • Individual Choice

The Departments of Social Services and Human Services worked collaboratively to review the final rule. Per the requirements of the final rule, South Dakota Medicaid developed a transition plan for HCBS settings in South Dakota to be approved by CMS. We look forward to building on our strong partnership and working closely with providers to ensure a smooth transition and continued compliance with the new rules.

South Dakota’s original Home and Community Based Statewide Transition Plan was submitted to CMS on March 12, 2015. CMS requested additional information from South Dakota in October 2015. CMS' comments may be viewed here. The Departments of Social Services and Human Services worked collaboratively to make changes to the Home and Community Based Statewide Transition Plan. CMS requested that South Dakota perform public notice on the Revised Transition Plan before submission to CMS. The Revised Statewide Transition Plan was available for Public Comment for 30 days from February 29 to March 30. South Dakota submitted the revised Transition Plan to CMS on April 6, 2016. CMS granted initial approval of the Transition Plan on June 2, 2017.

    View South Dakota's Transition Plan

There are four ways to make a comment:

  1. Email:
  2. Mail: South Dakota Medicaid
    ATTN: HCBS Transition Plan
    700 Governors Drive
    Pierre, SD 57501
  3. Phone: CHOICES Waiver: 605.773.3438
    HCBS (ASA) Waiver: 605.773.3656
    SD Medicaid: 605.773.3495
  4. Townhall Conference Call:
    March 9, 2016: 9 - 10 a.m. (CST)
    March 10, 2016: 4 - 5 p.m. (CST)
    Dial In: 1.866.410.8397 | Conference code: 8176972761

2016 Formal Public Comment Period Informational Materials

2015 Formal Public Comment Period Informational Materials

Other Resources

Assisted Living Provider Education Materials

HCBS Draft Transition Webinars

HCBS Informational and Settings Assessment Webinars

More Information
More information about the Final Rule is available from the following resources: