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
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:
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 April6, 2016.
There are four ways to make a comment:
2016 Formal Public Comment Period Informational Materials
2015 Formal Public Comment Period Informational Materials
Assisted Living Provider Education Materials
HCBS Draft Transition Webinars
HCBS Informational and Settings Assessment Webinars