MedicaidReimbursementHigh impact
July 1 2024 Fee Schedules
South Dakota Medicaid·SD·Provider Communication
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Summary
South Dakota Medicaid is implementing significant reimbursement rate increases effective July 1, 2024, including major increases for primary care visits (CPT 99202-99215) and preventative care (CPT 99381-99397). Most services are receiving a 4% inflationary increase, while some services are being rebased to align with Medicare rates.
Action Required
Effective July 1, 2024: Billing team must download updated South Dakota Medicaid fee schedules from https://dss.sd.gov/medicaid/providers/feeschedules/ and update billing system with new reimbursement rates. Priority updates include primary care codes 99202-99215 and preventative care codes 99381-99397 which received significant increases. Continue submitting claims normally as billing procedures remain unchanged.