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:
ā¢ Instate DRG Inpatient Hospital Services
ā¢ Instate DRG Exempt Inpatient Hospital Units
ā¢ Instate APC Outpatient Hospital Services
ā¢ Physician Services
ā¢ Dental Services including Orthodontic Services and Dentures
ā¢ Optometric Services
ā¢ Chiropractic Services
ā¢ Nutritionists and Dietician Services
ā¢ Durable Medical Equipment (Not including items subject to Section 1903(i)(27)) of the Social Security Act)
ā¢ Clinic Services
ā¢ Physical Therapy
ā¢ Occupational Therapy
ā¢ Speech, Hearing, or Language Disorder Services
ā¢ Prosthetic Devices
ā¢ Eyeglasses
ā¢ Diabetes Self-Management Training
ā¢ Nurse Midwife Services
ā¢ Community Transportation
ā¢ Secure Medical Transportation
ā¢ Air and Ground Ambulance Transportation
ā¢ Home Health Agencies
ā¢ Independent Mental Health Practitioners Services
ā¢ Nutrition Items
ā¢ Community Mental Health Centers
ā¢ Substance Use Disorder Agencies
ā¢ Personal Care Services
ā¢ Nursing Facilities
ā¢ Community Support Providers
ā¢ Community Service Providers
ā¢ Child Private Duty Nursing
ā¢ Anesthesiology excluding outpatient and ASC
ā¢ 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.