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South Dakota Medicaid is a federal and state-funded program providing health coverage for people who meet certain eligibility standards. Medicaid acts as an insurance company for individuals and pays for medically necessary services.
Contact your medical provider or South Dakota Medicaid at 1.800. 597.1603. You can also view covered services in the Medicaid Recipient Handbook.
All Medicaid claim transactions should contain the ID ?SD48MED? to identify SD Medicaid as the Payer.
The Department of Social Services provides South Dakota Medicaid to pregnant women who meet income and resource limits and general eligibility guidelines.
Professional claims submitted on paper must be submitted using the original National Standard Form (CMS 1500) printed in red OCR ink to submit professional services claims to South Dakota Medicaid. The form is designed to permit a provider to bill up to six services for one recipient.