Cabinet Secretary
Matt Althoff
Medicaid 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:
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. The Departments are 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. A revised Transition Plan was submitted to CMS on April 6, 2016 and CMS granted initial approval of the Transition Plan on June 2, 2017. CMS granted final approval of the Transition Plan on August 8, 2019.
2018 Formal Public Comment Period Informational Materials
- Tribal Consultation Letter
- Provider Letter
- DSS Public Notice Poster
- Overview of Changes to Transition Plan
Other Resources
Assisted Living Provider Education Materials
- February 15, 2017 Provider Education Webinar Recording
- January 25, 2017 Provider Education Webinar Recording
- January 11, 2017 Provider Education Webinar Recording
- Dec. 28, 2016 Provider Education Webinar Recording
- Dec. 14, 2016 Provider Education Webinar Recording
- Long-Term Services and Supports HOPE Assisted Living Provider Education Schedule
- HCBS Settings Guide to Expectations and Compliance
- June 23, 2015 Roommate Choice Policy & Supplemental Agreement Webinar Recording
More information about the Final Rule is available from the following resources: