Service Limit Inquiry on the Medicaid Portal

South Dakota Medicaid is excited to announce a new tool, Service Limits, will be available on the Medicaid Portal on January 6th, 2020.

Along with this new tool you will find that the “Eligibility” tab (half-moon) has changed to “Recipient Info”.  This new tab will house “Eligibility” and “Service Limits”.

Service Limits will give the Portal user the ability to search for the following limits on a given recipient.

  • Chiropractic
  • Diabetes Education
  • Dietician and Nutritionist
  • Independent Mental Health Practitioners (IMHP)
  • Incontinence Supply
  • Urgent Care
  • Vision

The results returned on the “Service Limits” tool are not a guarantee of coverage or eligibility.  We encourage you to us the “Eligibility” tab for coverage details.

A “Service Limits” user guide to assist you with this new tool can be found here.