MedicaidAdministrativeMedium impact
Winter Provider Newsletter
South Dakota Medicaid·SD·Education
We identified it
Jun 21, 2026
Summary
South Dakota Medicaid released their Winter 2026 Provider Newsletter with key updates including new fee schedules for multiple provider types, Medicare enrollment requirements for dual-eligible recipients, and enhanced eligibility verification processes. The newsletter also announces upcoming grant funding opportunities and program results.
Action Required
Billing teams should review the new Medicaid fee schedules published for Residential Treatment Facilities, FQHCs, Rural Health Centers, and Outpatient/Inpatient Hospitals available on the SD Medicaid website. Verify all providers eligible for Original Medicare are enrolled to avoid claim denials for dual-eligible recipients. Use only SD Medicaid-assigned prior authorization numbers in Block 23 (CMS 1500) and Locator 63 (UB04) - leave blank if no prior auth required.