Primary Care Provider Program

 

The Primary Care Provider Program (PCP) is designed to improve access to medical care for Medicaid recipients as well as improve the quality of care they receive by giving them a medical home.

 

The majority of recipients who qualify for Medicaid are required to participate in the Primary Care Provider Program. Recipients either choose or are assigned a Primary Care Provider (PCP). This allows the recipient and their physician to develop a relationship in which the best medical care can be provided. You can also view an online provider list.

 

As a primary care provider program recipient, you are required to receive non-emergent primary care provider services from your Primary Care Provider (PCP). You are also required to have a referral (permission) from your PCP for non-emergent specialty and hospital services. You can receive certain services called Primary Care Provider Program Exempt Services from other providers without a referral from your PCP.

If you have any questions please contact Medical Services at 605.773.3495 or Medical@state.sd.us. You may also contact your local office for assistance.