Dss ea 240 2025

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Medicaid is a federal and state-funded program providing health coverage for people who meet certain eligibility standards. If you are eligible, Medicaid will act as your insurance company and may pay for medically necessary services such as visits to the doctor, hospital, dentist, optometrist and chiropractor.
To make this request, one should write on their paper application, or if applying online, in the notes section, Medicaid Emergency Please Expedite. Persons can also make this request by calling their County Assistance Office after their application is submitted.
South Dakota Medicaid recommends using the Medicaid Portal (Portal) to verify Medicaid eligibility. Providers who have access to the Online Provider Portal can use this system to determine if a recipient currently has a provider in either the Primary Care Provider or Health Home Provider program.
Individuals who are eligible are entitled to full South Dakota Medicaid coverage. A person must be age 18 or older and have quadriplegia. The income limit can be up to $2,901 in 2025 a month.
A crossover claim is a claim for a recipient who is eligible for both Medicare and South Dakota Medicaid.

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Applications for coverage which require a disability determination to be made will be processed within 90 days. All other applications will be processed within 45 days. The South Dakota Medicaid Identification Card is issued by the Department of Social Services on behalf of eligible South Dakota Medicaid recipients.
TIMELY FILING Per ARSD 67:16:35:04 South Dakota Medicaid must receive a providers completed claim form within 6 months following the month the services were provided.
Medicaid expansion creates a new coverage group for South Dakotans starting July 1, 2023! Who is eligible? Individuals could be eligible if they are: at least age 19 but not yet 65, and not entitled to Medicare, and have income up to 138% of the Federal Poverty Limit.

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