Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
South Dakota MedicaidMedicaid · Administrative · Specialty Services · SD · Speech Therapy, Occupational Therapy, Physical Therapy +1 moreMedium impact

School District

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 21, 2026

Summary

South Dakota Medicaid issued updated billing reminders for school district and Birth to Three providers, emphasizing monthly eligibility verification, proper use of therapy assistant modifiers (HM, CO, CQ), and the TM modifier requirement for non-IEP/IFSP services that began October 1, 2025.

Get alerts when payers change rules like this one

We check South Dakota Medicaid and other payers every day and email you when a change matches your specialty and state.

Get South Dakota Medicaid alertsPolicy Monitoring is free. No card required.

What to do

immediately · 4 steps
01School district providers must verify Medicaid eligibility monthly in the portal before billing.
02Use HM modifier for SLPA services, CO modifier for OTA services, and CQ modifier for PTA services with supervising therapist's NPI in box 24J.
03Apply TM modifier to all non-IEP/non-IFSP services (like 504 plans).
04Supervising therapists should review and sign documentation for assistant services claims.

Original notice

School District
dss.sd.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

South Dakota Medicaid policiesSD policy changesSpeech TherapyOccupational TherapyPhysical TherapyPediatrics

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account