Sd medicaid provider application

Cabinet Secretary
Matt Althoff

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South Dakota Medicaid - Provider Online Portal

The SD Medicaid Provider Online Portal allows providers to view and download copies of various reports, including Medicaid remittance advices. Providers also have the ability to manage who has access to your organization's information.

Current Functionality

CMS-1500 Claim Submission

Communications - Appeals and Coverage Requests

Eligibility Inquiry - Cost Share, Level of Care, Long Term Care information

Health Homes - Remittance Advice, Case Load Reports, Paid Claims Report, and Core Services

Long Term Services and Support - Census Status Report

Medicaid - Negative Balance Report

Medicaid - Remittance Advice

Primary Care Provider - Remittance Advice, Case Load Reports, and Paid Claims Report

Provider Reimbursements and Audits - Cost Settlement Report

The following resources are provided to assist users with using the Medicaid Portal. For additional assistance using or accessing the portal, send an email to DSSonlineportal@state.sd.us.

Provider Training

Where do I find my SD MEDX ID Number?

Please have your provider enrollment or credentialing staff login to the Provider Enrollment portal to find your PE System ID number, formerly known as the SD MEDX ID. This seven digit number will start with a one, two, or three and is not the legacy number found on your remittance advice. This number can be found on the upper right side of the enrollment record.

Contact

If you need further assistance or have questions please contact us.

Email: DSSonlineportal@state.sd.us
Phone: 605.773.3495

Providers