Saturday, May 8, 2021
Home Latest News State News Medicaid Services Rate Increase Effective July 1

Medicaid Services Rate Increase Effective July 1

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:

If you have any questions, please contact the Division of Medical Services at 1-800-452-7691.

Stay Connected

Unified Voice Newsletter

Events This Month


11may11:00 am12:00 pmLeadership Series: Difficult Conversations11:00 am - 12:00 pm CST Event Type :Education Events,Webinar

11may6:30 pm9:00 pmBCBH - Cancer Live! Workshops6:30 pm - 9:00 pm CST Event Type :Community Events,Education Events

12may12:00 pm1:00 pmBuilding a data-driven hospital opioid stewardship programWebinar12:00 pm - 1:00 pm CST Event Type :Education Events,Webinar

12may1:00 pm2:00 pmNavigating Cannabis Use in Senior CareWebinar1:00 pm - 2:00 pm Event Type :Education Events,Webinar

12may1:30 pm4:00 pmBCBH - Pain Live! Workshops1:30 pm - 4:00 pm CST Event Type :Community Events,Education Events


Select list(s) to subscribe to

By submitting this form, you are consenting to receive marketing emails from: SDAHO, 3708 W Brooks Place, Sioux Falls, SD, 57106, You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact