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
• NDC Billing Requirement

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

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