Medicaid Provider Enrollment Overview

South Dakota offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by South Dakota Department of Social Services. Currently, South Dakota is actively enrolling new home care providers.

The average enrollment timeline is 60-90 days from initial application to receiving your first client. With low demand for home care services, South Dakota represents a niche opportunity for agencies looking to serve Medicaid clients.

South Dakota Medicaid Waiver Programs

Home care agencies in South Dakota can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

HOPE Waiver (Home and Community Options)

1915(c) Waiver

Services for elderly and disabled

2

CHOICES Waiver

1915(c) Waiver

Services for individuals with developmental disabilities

3

Family Support 360

1915(c) Waiver

Family support services for DD

South Dakota Provider Requirements

To become a Medicaid provider in South Dakota, your home care agency must meet the following requirements:

  • South Dakota business registration
  • Home Health Agency or Homemaker Services certification
  • Criminal background checks
  • Professional liability insurance
  • DSS provider standards
  • Quality assurance program

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in South Dakota:

1

Obtain South Dakota provider certification

2

Apply for NPI

3

Complete SD DSS Provider Enrollment

4

Register in MMIS

5

Complete waiver-specific requirements

6

Execute provider agreement