Thank you for your interest in becoming a Home and Community-Based Services Provider for consumers of the SD Division of Long-Term Services and Supports (LTSS).

Providers are encouraged to review the LTSS HCBS Provider Enrollment Manual and the service-specific Provider Provisions they intend to serve prior to completing the LTSS HCBS Enrollment Request.

In order to initiate the process to be a provider and have the capacity to accept all LTSS referrals, complete the LTSS HCBS Enrollment Request and submit required policies as outlined in the service-specific Provider Provisions.

Visit DHS/LTSS Provider Portal webpage for LTSS Provider Provisions and LTSS HCBS Enrollment Manual.

NOTE: For the HCBS Service selected, LTSS requires the Provider to obtain a license from the South Dakota Department of Health (SDDOH) to operate an Assisted Living Center prior to LTSS Enrollment Review. 

For SDDOH Assisted Living Centers Licensure, please visit: https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/assisted-living-centers/

NOTE: For the HCBS Service selected, LTSS requires the Provider to obtain a license from the South Dakota Department of Health (SDDOH) to operate a Community Living Home prior to LTSS Enrollment Review. 

For SDDOH Community Living Home Licensure, please visit: https://doh.sd.gov/healthcare-professionals/health-facility-licensure/facility-types/community-living-home/

Click here for LTSS Provider Resources Page

Click here for LTSS Provider Resources Page

NEXT STEPS: Once the request is submitted, LTSS will review the  enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

NEXT STEPS: Once the request is submitted, LTSS will review the enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

Providers are also be required to be compliant with the HCBS Settings Final Rule review prior to LTSS HCBS enrollment approval.

For HCBS Settings Final Rule Compliance, the provider must complete and submit all policies and procedures outlined in the HCBS final rules assessment located on the LTSS Provider Resources page. Providers can send this additional information to HCBS@state.sd.us

Settings that are located in a building that is also a publicly or privately operated facility that provides inpatient institutional treatment, such as a hospital or nursing facility, will not be eligible to enroll as a HOPE Waiver provider.

Only providers approved by CMS prior to March 17, 2023 are eligible to provide HOPE Waiver services to individuals residing in Assisted Livings, Community Living Homes, or Adult Day Centers.

NEXT STEPS: Once the request is submitted, LTSS will review the enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

Providers are also be required to be compliant with the HCBS Settings Final Rule review prior to LTSS HCBS enrollment approval.

For HCBS Settings Final Rule Compliance, the provider must complete and submit all policies and procedures outlined in the HCBS final rules assessment located on the LTSS Provider Resources page. Providers can send this additional information to HCBS@state.sd.us

Settings that are located in a building that is also a publicly or privately operated facility that provides inpatient institutional treatment, such as a hospital or nursing facility, will not be eligible to enroll as a HOPE Waiver provider.

Only providers approved by CMS prior to March 17, 2023 are eligible to provide HOPE Waiver services to individuals residing in Assisted Livings, Community Living Homes, or Adult Day Centers.

NEXT STEPS: Once the request is submitted, LTSS will review the enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

Providers are also be required to be compliant with the HCBS Settings Final Rule review prior to LTSS HCBS enrollment approval.

For HCBS Settings Final Rule Compliance, the provider must complete and submit all policies and procedures outlined in the HCBS final rules assessment located on the LTSS Provider Resources page. Providers can send this additional information to HCBS@state.sd.us

Settings that are located in a building that is also a publicly or privately operated facility that provides inpatient institutional treatment, such as a hospital or nursing facility, will not be eligible to enroll as a HOPE Waiver provider.

Only providers approved by CMS prior to March 17, 2023 are eligible to provide HOPE Waiver services to individuals residing in Assisted Livings, Community Living Homes, or Adult Day Centers.

NEXT STEPS: Once the request is submitted, LTSS will review the  enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

NEXT STEPS: Once the request is submitted, LTSS will review the  enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

NEXT STEPS: Once the request is submitted, LTSS will review the  enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

NEXT STEPS: Once the request is submitted, LTSS will review the  enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

NEXT STEPS: Once the request is submitted, LTSS will review the  enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

NEXT STEPS: Once the request is submitted, LTSS will review the  enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

NEXT STEPS: Once the request is submitted, LTSS will review the  enrollment request with documentation and outreach to the identified contact person within 10 days from the date of submission. Any incomplete documentation or missing information will delay enrollment process. All providers are given 30 days to respond and submit the follow-up documents and corrective actions idenfied in order to complete the LTSS Enrollment Process.

For further enrollment information, please refer to the LTSS HCBS Enrollment Manual.

PLEASE NOTE: LTSS requires all Providers complete a W-9 and submit Certificates of Insurance prior to LTSS initiating a contract with requesting provider.

LTSS Business Operations Manager will outreach to collect this documentation once LTSS Enrollment Process is completed to initiate LTSS Contract Process. 

The SD Medicaid Provider Enrollment process is administered through the Department of Social Services. 

Some LTSS HCBS services require SD Medicaid Enrollment prior to LTSS initiating any referrals for service, as the service is only available through the HOPE Waiver. These services include: Adult Companion, Chore, Assisted Living, Structured Family Caregiving, Community Living Home, Community Transitions Coordination and Supports, and Environmental Accessibility Adaptations. 

Please refer to the South Dakota Medicaid provider enrollment chart for additional details on enrollment eligibility and supporting documentation requirement. 

All interested Providers must have an NPI number prior to submitting an application and enrolling in SD Medicaid (SDMEDX). If you do not already have an NPI number, you can obtain one by visiting: https://nppes.cms.hhs.gov/#/.  If you need additional information and assistance, please contact SD Medicaid Provider Enrollment, phone number: 1-866-718-0084 or email.

Although there is collaboration between the two agencies, please note that these are two distinct processes.