News...
December 7, 2012

South Dakota’s Medicaid Program Receives Top Rating for Medicaid Administration

PIERRE, S.D. – The South Dakota Department of Social Services (DSS) has the lowest error rates in the nation in key measures of the Medicaid program, according to the U.S. Department of Health and Human Service’s Centers for Medicare and Medicaid Services (CMS).

South Dakota’s Medicaid eligibility error rate was 0.0 percent compared to a national average of 3.3 percent.  In addition, South Dakota had the lowest overall Medicaid payment error rate of 1.2 percent of the 17 states reviewed by CMS in federal fiscal year 2011 for its Medicaid program.  This compares to the 5.8 percent national average error rate. The error rates measure the state’s accuracy of determining eligibility for the Medicaid program and the accuracy of payments for Medicaid claims.

“I’ve long said that South Dakota runs an effective and efficient Medicaid program,” Gov. Dennis Daugaard said.  “These results are further proof that South Dakota’s program safeguards taxpayer dollars by ensuring Medicaid services are provided only to those eligible and that claims for health care services are paid accurately”. 

As of October, 116,356 South Dakotans were eligible for Medicaid services.  In the last fiscal year, more than four million claims were accurately paid on behalf of eligible recipients.

“This is a very significant accomplishment by the Department of Social Services staff, who make sure the state of South Dakota runs a highly efficient Medicaid program despite record numbers of individuals and families in South Dakota that are currently receiving Medicaid benefits,”  said DSS Secretary Kim Malsam-Rysdon.

For more information about South Dakota Medicaid, visit http://dss.sd.gov/medicalservices/

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