Providers are essential to the operation of South Dakota Medicaid. We appreciate your dedication to providing access to medically necessary care for South Dakota families. Please use the sidebar navigation or the topics listed below to find more detailed information about South Dakota Medicaid programs and policies.
Providers who have questions regarding South Dakota Medicaid claim submission requirements should refer to the provider billing manuals.
Providers can check the status of claims and inquire about claims payment calculation and other related questions by contacting the telephone service unit:
Providers who have questions regarding allowed amounts for covered services should refer to South Dakota Medicaid’s fee schedules.
Providers may use South Dakota Medicaid’s IVR to confirm recipient information.
Recipient eligibility may also be accessed using a Medicaid Eligibility Verification System (MEVS) through Emdeon.
Providers who desire to participate in South Dakota Medicaid must be eligible to provide a covered service, must be an appropriately enrolled provider to receive payment, and must continue to maintain their enrollment records.
Providers who need to know whether a service requires a prior authorization or desire to complete a prior authorization should refer to Prior Authorizations.
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