AI HubSouth Dakota Medicaid Funding and Claim Denial Prevention for Home Care Agencies
This video covers how South Dakota Medicaid is funded (federal/state matching) and how EVV-enabled software helps agencies avoid claim denials. For example, South Dakota’s compliance letter from Centers for Medicare & Medicaid Services (CMS) confirms the state meets EVV requirements, so agencies must ensure their systems feed data properly to avoid reimbursement issues.
Who we empower every day
By Role
- Agency Owners – Ensure your EVV/time-capture system supports clean claims submission and reduces risk of denials/funding delays
By Persona
- Supervisors – Monitor visit capture, exception rates, compliance metrics and intervene when patterns suggest risk
- Care Managers – Ensure scheduled services are recorded, delivered, documented and captured via EVV to avoid “no show” flags or audits
- Billers – Use EVV and scheduling data to validate claims, attach required elements and reduce submission errors
- Schedulers – Ensure visits are assigned and captured on mobile/telephony tools in alignment with EVV requirements
- Caregivers – Use tools accurately so visit data is locked in, location/time captured and reimbursement is supported
- On-Call Coordinators – Handle missed visits, exceptions, technology issues and ensure backup workflows preserve EVV capture and claims integrity
In South Dakota, EVV compliance ties directly to reimbursement integrity. A system that links scheduling, mobile/telephony capture, location/time data, billing and reporting helps agencies stay ahead of audits, denials and funding risk.
