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 Out-of-State Provider 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 Out-of-State Provider Enrollment Request and submit required policies as outlined in the service-specific Provider Provisions.

Visit DHS/LTSS Provider Resources page for LTSS Provider Provisions and LTSS HCBS Enrollment Manual.

To align with SD Medicaid Provider Enrollment Out-of-State Provider requirements and continue LTSS HCBS enrollment review, there must be an identified need for the provider’s service in South Dakota and the provider must be providing services to a HOPE Waiver participant or locate a potential HOPE Waiver participant currently residing in South Dakota prior to LTSS Enrollment review.

The provider is required to submit the first and last name of an individual that currently resides in South Dakota in need of their business’ services, applicable to DHS/LTSS HCBS services, within the LTSS HCBS Out-ofState Provider Enrollment Request. LTSS will determine if the individual residing in South Dakota is eligible for HOPE Waiver services.

If it is determined that the individual identified in the online request form is not eligible to receive HOPE Waiver services, the provider will be notified by LTSS and required to submit another individual residing in South Dakota that may be eligible for HOPE Waiver services in order to proceed with LTSS HCBS enrollment. 

If the individual is determined eligible for HOPE Waiver services and chooses the enrolling provider to provide applicable LTSS HCBS services, LTSS will pursue with an LTSS HCBS enrollment as described in the LTSS HCBS Provider Enrollment Manual. 

As outlined in LTSS HCBS Provider Enrollment Manual, 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.