This is the procedure for community mental health centers funded through the Department of Human Services (HCPC code H2021)
*Any services provided prior to the waiver approval will not be covered services.
Mail or fax your completed form and documentation to:
Division of Mental Health
E Hwy 34, Hillsview Plaza
c/o 500 Capitol Ave.
Pierre, South Dakota 57501-5070
Phone: (605) 773-5991
Fax: (605) 773-7076