MedicaidReimbursementHigh impact
Update to Medcaid Cost Sharing Requirements
South Dakota Medicaid·SD·Claims & Billing
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
South Dakota Medicaid has eliminated all copays and cost sharing for medical services effective July 1, 2024. Providers should no longer collect any cost sharing from Medicaid recipients and reimbursement will no longer deduct cost share amounts.
Action Required
Immediately: Stop collecting all copays and cost sharing from South Dakota Medicaid recipients for claims processed after July 1, 2024. Billing team must update billing software to remove cost sharing deductions for SD Medicaid. Update front desk procedures to stop requesting copays from SD Medicaid patients. This applies to all services including prescriptions, dental, DME, hospital, physician, and clinic services.