The General Appropriations Act provides a rate increase for most Medicaid services. Rate increases for Medicaid providers are effective July 1, 2020 for services provided in FY 2021.
Services receiving a 2.0 percent inflationary increase including the following:
⢠Instate DRG Inpatient Hospital Services
⢠Instate DRG Exempt Inpatient Hospital Units
⢠Instate APC Outpatient Hospital Services
⢠Physician Services
⢠Dental Services including Orthodontic Services and Dentures
⢠Optometric Services
⢠Chiropractic Services
⢠Nutritionists and Dietician Services
⢠Durable Medical Equipment (Not including items subject to Section 1903(i)(27)) of the Social Security Act)
⢠Clinic Services
⢠Physical Therapy
⢠Occupational Therapy
⢠Speech, Hearing, or Language Disorder Services
⢠Prosthetic Devices
⢠Eyeglasses
⢠Diabetes Self-Management Training
⢠Nurse Midwife Services
⢠Community Transportation
⢠Secure Medical Transportation
⢠Air and Ground Ambulance Transportation
⢠Home Health Agencies
⢠Independent Mental Health Practitioners Services
⢠Nutrition Items
⢠Community Mental Health Centers
⢠Substance Use Disorder Agencies
⢠Personal Care Services
⢠Nursing Facilities
⢠Community Support Providers
⢠Community Service Providers
⢠Child Private Duty Nursing
⢠Anesthesiology excluding outpatient and ASC
⢠Health Home per member per month
South Dakota Medicaid has revised the fee schedules. The fee scheduled are available online: https://dss.sd.gov/medicaid/providers/feeschedules/.
If you have any questions, please contact the Division of Medical Services at 1-800-452-7691.