Medicaid

How to Get Credentialed with South Dakota Medicaid in South Dakota

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

South Dakota-Specific Requirements

South Dakota Medicaid enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the South Dakota DSS (Department of Social Services) Medicaid provider enrollment portal. (3) Submit application with SD state license, proof of malpractice insurance, and required documentation. (4) Background check including state DCI and federal criminal history is required for all providers. South Dakota operates primarily fee-for-service with no managed care organizations. Behavioral health providers accepted include LPC-MH (Licensed Professional Counselor - Mental Health), LCSW, and LMFT with active South Dakota licensure. Revalidation is required every 5 years.

Medicaid Information — South Dakota

Agency: South Dakota DSS

Program: South Dakota Medicaid

Portal: https://dss.sd.gov/medicaid/providers/

Phone: 1-800-597-1603

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for South Dakota.

2

Prepare Your Application

Complete South Dakota Medicaid's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to South Dakota Medicaid.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

South Dakota Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-597-1603

General Provider Inquiries

National

1-800-597-1603

Quick Links

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