SD Department of Human Services, Division of Long Term Services and Supports

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).

LTSS provides home and community-based service (HCBS) options to South Dakotans 60 years of age and older and 18 years of age and older with disabilities who meet program eligibility. LTSS enters purchase-of-services agreements with agency providers who provide services to eligible individuals based on program requirements. 

Before completing the LTSS HCBS Enrollment Request online, providers are expected to review the LTSS HCBS Provider Enrollment Manual and Service-specific Provider Provisions specific to the service(s) the Provider is requesting to render. The Provider Provisions are incorporated with the LTSS agreement(s) and reference policy and procedure requirements as well as provider standards.

To initiate the LTSS enrollment process, please complete this online request form. This request form serves as the intake form, collecting basic provider details for the LTSS Provider Enrollment Process.

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 before intiating the LTSS HCBS Enrollment Request. 

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 before intitating the LTSS HCBS Enrollment Request. 

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

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Click here for LTSS Provider Resources Page

Change of Ownership Information

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Click here for LTSS Provider Resources Page

Examples of documentation you may choose to upload include: brochures outlining services offered, coverage area, and service fees.

Policies requirements outlined in the service-specific Provider Provisions will be collected later during the LTSS Enrollment Process.

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

Most 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.

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When the LTSS HCBS Provider Enrollment Request is submitted, LTSS will review the submission, verify preliminary eligibility requirements, and coordinate an onsite review at the business location within 10 business days following the date of submission.

Following verification of the business location, LTSS will contact the provider addressing any initial findings and provider questions, and request the provider complete the appropriate Provider Self-Assessment(s).

When submission of the Provider Self-Assessment is received, LTSS will review submission responses and supporting documentation, verifying adherence to LTSS Policy & Procedure requirements. When all supporting documentation and evidence are received and LTSS' initial enrollment approval has occurred, LTSS will proceed with requesting a contract with the requesting provider.