S.D. Medicaid Billing and Policy Manual, Hospice Services, Eligible Providers

In order to receive payment, all eligible servicing and billing provider’s National Provider Identifiers

(NPI) must be enrolled with South Dakota Medicaid. Servicing providers acting as a locum tenens

provider must enroll in South Dakota Medicaid and be listed on the claim form. Please refer to the

provider enrollment chart for additional details on enrollment eligibility and supporting documentation

requirements.

South Dakota Medicaid has a streamlined enrollment process for eligible ordering, referring, and

attending providers that may require no action on the part of the provider as submission of claims

constitutes agreement to the South Dakota Medicaid Provider Agreement.

All hospice providers must be enrolled with Medicare and meet applicable Medicare conditions of

participation for patient care and organizational environments in 42 CFR 418.52 to 418.116. Hospice

providers must be licensed/certified as either an inpatient hospice and/or residential hospice provider to

become enrolled. Each servicing location must be specifically enrolled and while not required, it is

recommended that providers consider using a unique NPI for each location.