Provider Information

Policy/Rule/Billing Updates

The information below includes updates made to South Dakota Medical Assistance (SDMA ) policy, rule and billing information for various provider types as listed below. Updates wil be made periodically when notices are sent to providers.

• ALL PROVIDERS
• Adult Nutritional Formula
• Ambulance
• Birth to Three Providers
• Durable Medical Equipment
  • Ownership of Purchased Equipment: Nebulizer
  • Criteria for Cranial Remolding
• Hospitals
• Hospice
• Laboratories
• Long Term Care
• Home Health
• Independent Labs
• Mental Health Clinics
• Occupational Therapists
• Pharmacy
• Physicians
  • Family Practice and OB/GYN Physicians
• Physical & Occupational Therapy Code Rate Change
• Private Duty Nursing/Extended Home Health Aide Services
• Refund Checks
• Rural Health Clinics/Federally Qualified Health Centers
  • Claim Submission
  • Coverage Policies
• School Districts
• Speech Therapists
• State Plan update: EPSDT Cost Share
• Transportation
• Vaccines
• Vision