As outlined in [LTSS HCBS Enrollment Procedure], In order for LTSS to proceed with HOPE Waiver services enrollment, there must be an identified need for service in South Dakota and the provider must be providing services to a HOPE Waiver participant prior to LTSS Enrollment review.
Out-of-State Providers will be required to identify an individual that currently resides in South Dakota in need of their business’ services that align with applicable SD DHS/LTSS Provider Provisions.
DHS/LTSS will confirm if the individual is eligible for HOPE Waiver services and outreach to Provider [within 10 business days of submission.]
If the individual idenified is determined to not be eligible for HOPE Waiver services, the Provider will be notified and required to resubmit LTSS HCBS Enrollment Request for Out-of-State Providers.
Once identified individual is determined eligible for HOPE Waiver services, DHS/LTSS will pursue with reviewing submitted enrollment documents, policy verification and onsite review and correspondence.
LTSS will notify SD Medicaid Provider Enrollment and confirm the Provider has a pending SD Medicaid Provider application with applicable taxonomy code applied.