Listed below is a series of billing manuals for enrolled South Dakota Medicaid providers. The manuals are designed for use as a guide for the preparation of claims. The manuals are not intended to address all rules and regulations of South Dakota Medicaid.
The administrative simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II) requires the United States Department of Health and Human Services to establish national standards for electronic health care transactions and national identifiers for providers, health plans and employers. South Dakota Medicaid is required by federal law to conform to the national standards. Listed below is a series of manuals detailing the situational data elements and plan-specific values that must be included in transactions that are transmitted electronically to South Dakota Medicaid.
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