Cabinet Secretary
Matt Althoff
Click the Medicaid Portal logo to login
South Dakota Medicaid - Provider Online Portal
6 Day Stay Reporting User Guide
Residential Reporting Incident and Communications Guide
UB-04 Portal Claim Submission Guide | Training Video
Portal Claim Status Inquiry Guide
CMS 1500 Portal Claim Submission Guide
September 2019 Portal Claim Submission Webinar
Provider Administration Training Webinar
June 2018 Portal Updates Recorded Webinar
February 2019 Portal UpdatesThe SD Medicaid Provider Online Portal allows providers to view and download copies of various reports, including Medicaid remittance advices. Providers also have the ability to manage who has access to your organization's information.
Current Functionality
Status Inquiry
CMS-1500 Claim Submission
Communications - Appeals and Coverage Requests
Eligibility Inquiry - Cost Share, Level of Care, Long Term Care information
Health Homes - Remittance Advice, Case Load Reports, Paid Claims Report, and Core Services
Long Term Services and Support - Census Status Report
Medicaid - Negative Balance Report
Medicaid - Remittance Advice
Primary Care Provider - Remittance Advice, Case Load Reports, and Paid Claims Report
Provider Reimbursements and Audits - Cost Settlement Report
The following resources are provided to assist users with using the Medicaid Portal. For additional assistance using or accessing the portal, send an email to DSSonlineportal@state.sd.us.
Provider Training
Health Home and Primary Care Provider Program PDF
Adjudicated Claims Listing PDF
Health Home Provider QCC Power Point
Compatibility View Setting Resolution
Where do I find my SD MEDX ID Number?
Please have your provider enrollment or credentialing staff login to the Provider Enrollment portal to find your PE System ID number, formerly known as the SD MEDX ID. This seven digit number will start with a one, two, or three and is not the legacy number found on your remittance advice. This number can be found on the upper right side of the enrollment record.
Contact
If you need further assistance or have questions please contact us.
Email: DSSonlineportal@state.sd.us
Phone: 605.773.3495
Key Resources
- Diagnosis Look-up Tool
- Fee Schedules
- Prior Authorizations
- Procedure Code Look-up Tool
- Provider Manuals
- Provider Enrollment