During the enrollment process you will be led through many steps with multiple elements. You may not be required to complete every step or element. Please review the following information and collect your needed information prior to beginning your enrollment application.
Please review the following enrollment types listed below to determine your appropriate online enrollment process.
Training for each enrollment type can be accessed by using the links under each enrollment type description.
The Provider Agreements establish a contractual relationship between SD Medicaid and the provider enrolling to ensure the provider adheres to all rules and regulations established by the Federal Government and the State of South Dakota via administrative rule and codified law. Providers may be required to submit supplemental documents based on information entered into SD MEDX during the enrollment process such as electronic funds transfer verification, licenses and addendums to the provider agreements. All providers are required to complete and sign a provider agreement with original signature. Documents requiring an original signature must be sent via mail.
An Atypical provider is an entity or individual who directly or indirectly provides services related to medical care and are unable to obtain an NPI. Contact the SD MEDX Provider Response Team if you are unable to obtain an NPI and desire to render or support healthcare services.
Providers who anticipate participating in the South Dakota Medicaid PRIME Program must indicate their desire to be a Primary Care Provider (PCP) in the Managed Care Program on their SD MEDX enrollment record and submit the PCP Addendum.
The Centers for Medicare and Medicaid Services (CMS) requires all State Medicaid Agencies to obtain an annual attestation form from all residential treatment facilities providing psychiatric services to individuals under age 21. This form ensures compliance, on the part of the facility, with the federal regulations that govern the use of restraint and seclusion as codified in 42 CFR Â§Â§ 483 Subpart G. The attestation form must be completed and signed by an individual who has the legal authority to obligate the facility.