The South Dakota Medicaid Provider Online Portal is a comprehensive digital platform designed to streamline healthcare provider operations and management. This essential tool empowers medical professionals with efficient, secure access to critical Medicaid-related services and information.
Official Links
- Provider Portal: https://dss.sd.gov/medicaid/portal.aspx
- Medicaid Portal Login: https://dssapps.appssd.sd.gov/ocp/Account/Login
What Providers Can Do
The South Dakota Medicaid Provider Portal offers a robust suite of functionalities to support healthcare providers:
Key Features
-
Claim Management
- Submit CMS-1500 claims
- Claim status inquiry
- View remittance advices
- Download claim reports
-
Eligibility Verification
- Check recipient eligibility
- Verify cost share information
- Confirm level of care
- Long-term care information lookup
-
Reporting Capabilities
- 6-day hospital stay reporting
- Health homes case load reports
- Census status reports
- Negative balance reports
Who Can Use the Portal
The portal is designed for:
- Medicaid healthcare providers
- Medical facilities
- Healthcare professionals
- Authorized organizational representatives
Accessing the Portal
Login Process
- Visit the official Medicaid Portal login page
- Enter your provider credentials
- Use your Provider Enrollment portal ID (7-digit number starting with 1, 2, or 3)
Important Login Details
- Login requires registered credentials
- First-time users must complete registration
- Forgot password option available
Privacy and Security
The South Dakota Department of Social Services ensures:
- HIPAA compliance
- Secure access protocols
- Protected health information management
Support and Assistance
Contact Information
- Email: [email protected]
- Phone: 605.773.3495
- Address: 700 Governors Drive, Pierre, SD 57501
Additional Resources
The portal provides access to:
- Diagnosis lookup tools
- Fee schedules
- Prior authorization processes
- Procedure code lookup
- Provider manuals
Supported Services
The portal supports various healthcare sectors:
- Behavioral health
- Primary care
- Long-term services
- Health homes programs
Compatibility and Technical Support
- Offers user guides
- Provides compatibility view settings
- Supports multiple browsers
- Offers training resources and webinars
Unprovided Information
Some details were not explicitly available in the source documents, including:
- Specific mobile app availability
- Detailed registration process
- Comprehensive feature list
The South Dakota Medicaid Provider Portal represents a crucial digital tool for healthcare providers, offering streamlined, secure access to essential Medicaid services and information.
Contact for More Information
For specific inquiries or detailed guidance, providers are encouraged to contact the portal support team directly.
Disclaimer: Information accurate as of July 2024, subject to potential updates by the South Dakota Department of Social Services.
FAQ
How do I contact my Medicaid provider in South Dakota?
| Organization Type: | State Medical Assistance Office |
|---|---|
| Organization Description: | Medicaid program |
| Covered States and Territories: | South Dakota |
| Information: | Toll Free: (800) 597-1603 Local: (605) 773-3495 Spanish: (800) 305-9673 Fax: (605) 773-5246 Web Site: https://dss.sd.gov/medicaid/ Hours: 8:00 am – 5:00 pm |
Does Medicaid have a portal?Our portal makes it easy to find what you need in just a few clicks. All members of Health Partners Plans Medicaid have access to the portal. Members with an existing account will need to re-register. We apologize for the inconvenience, however, this enables us to provide the best experience possible.
How do I contact Medicaid in South Dakota?
- Claims (Status, Payment Questions and Remittance Requests):
- Dental Claims Status: 877.841.1478.
- Recipient Eligibility Inquiries:
- Medicaid Fraud Hotline: 800.765.7867.
- Medicaid Recipient Hotline: 800.597.1603.
- Primary Care Provider (PCP) Program: 800.597.1603.
How do I verify my Medicaid eligibility in South Dakota?Providers may call South Dakota Medicaid’s CAP unit at 1-800-452-7691 to verify eligibility through the Interactive Voice Response System (IVR). Your provider NPI number and the recipient’s Medicaid ID number are required to check eligibility using the IVR. Each call takes approximately one minute to complete.
https://dss.sd.gov/medicaid/portal.aspx
The SD Medicaid Provider Online Portal allows providers to view and download copies of various reports, including Medicaid remittance advices.
https://dssapps.appssd.sd.gov/
The South Dakota Medicaid Portal offers a variety of functions to help enrolled Medicaid providers manage their Medicaid business.