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

Service Limit Guide

Eligibility Update 2020

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 Updates

The 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

Registration and Eligibility

Claims Remittance Advice PDF

Health Home and Primary Care Provider Program PDF

Census Status Report PDF

Adjudicated Claims Listing PDF

Health Home Provider QCC Power Point

Eligibility Inquiry

Frequently Asked Questions

User Guide

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

Test Environment