MedicaidAdministrativeMedium impact
Immediate Family Members of the Household Providing Care
South Dakota Medicaid·SD · Pediatrics, General Practice·Provider Communication
We identified it
Jun 21, 2026
Summary
South Dakota Medicaid is extending the deadline by 6 months for Private Duty Nursing agencies to make alternative staffing arrangements when immediate family members can no longer provide paid caregiving services. The state is also exploring a waiver/exceptions process for extraordinary circumstances where no alternative care options exist.
Action Required
Within the next 6 months: Private Duty Nursing agencies must identify and arrange alternative staffing for cases where immediate family members are currently providing paid PDN services. Agencies should work with SD Medicaid to review extraordinary cases that may qualify for potential waiver/exceptions process. Document all cases where no alternative care options can be identified for potential waiver consideration.