Medicaid for Home Care in South Dakota

Medicaid Certified Home Care Agency in South Dakota

Every homecare service provider needs to be a certified HHA (Home Health Agency) to file Medicaid claims in South Dakota. Detailed information about the regulations, according to individual states, is provided by the state’s Department of Human Services or Bureaus of Licensing and Certifications. Some states are offering exemptions for certifications while these certifications and license are mandatory in other states.

Governing Body: South Dakota Department of Social Services (DSS)

Overview:

Medicaid in South Dakota is funded by the state and federal governments to provide health coverage to low-income individuals, including pregnant women, newborns, disabled people, seniors, people with chronic renal failure, and youths formerly in foster care and refugees (for at least eight months).

Medicaid Programs:

  • South Dakota Medicaid for Workers with Disabilities (MAWD)
  • Former Foster Care Medical Program
  • Refugee South Dakota Medicaid (RMA)
  • Hope Waiver
  • Personal Care Services

Income Requirements:

  • For parent/caretakers, income up to $613 per month for a family of one and $1,421 per month for a family of eight
  • For pregnant women, income between $408 per month for a family of one and $967 per month for a family of eight
  • For blind people and seniors, having resources less than $2,000 and income less than 300% of the Supplemental Security Income Standard Benefit Amount of $2,205 per month
  • For adults 65 or older, having resources less than $2,000 and income less than 300% of the SSI Standard Benefit Amount of $2,199 per month
  • For people with chronic renal failure, income less than 150% of the Federal Poverty Guideline and resource limits of $4,000 for a family of one or $6,000 for a family of two

Application Process:

The application process for accessing Medicaid in South Dakota is not complex, and anyone can apply for the available Medicaid programs through the website of the South Dakota Department of Social Services.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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