South Dakota Medicaid
Please follow the Enrollment Instructions below to become an electronic submitter to South Dakota Medicaid.
Required Documents for those applying for new Submitter IDs
The following documents are required enrollment documents that must be completed, signed and returned to the SD Medicaid office prior to initiation of electronic claims submission or inquiry.
1. Online Enrollment form for ALL submitters:
The Online Enrollment form can only be accessed after logging in to SD MEDX.
(Please remember you are applying for a submitter ID as a Self Biller and to become a Direct Submitter)
2. Trading Partner Agreement: https://dss.sd.gov/sdmedx/docs/providers/TradingPartnerAgreement.pdf
If you have any questions regarding any of the documents in this package, please call the South Dakota Medicaid Provider Enrollment hotline at 605-773-3495 or email your questions to DSS-Medicaid@dss.state.sd.us
We can now process 276/277 requests (claim status). If this is a transaction you would like to utilize please make sure to enroll with the payer.
Trading Partner Agreement
Please Enter the name of your organization in the first line
Please Print your name and title, enter your contact information
Submitting your Forms
It is recommended that you keep a copy of all the forms you will be submitting for your records. Mail the Trading Partner Agreement form reflecting original signatures to:
DEPARTMENT OF SOCIAL SERVICESDIVISION OF MEDICAL SERVICES700 GOVERNORS DRIVEPIERRE, SD 57501-2291
It is very important that you complete and return the entire form as described above. Incomplete forms will not be processed and will be returned to the submitter.
Waiting for a Response
After approval by South Dakota Medicaid, we will contact you via email to determine your interest in submitting electronic transmissions. You will be required to test with SDMA. We will send you testing instructions for the Launchpad application, along with your Submitter ID and temporary password. All test transactions will need to be submitted through Launchpad, even if you choose to submit productions transactions through secure FTP. When submitting an 837 Institutional and/or Professional test file in Launchpad, please idicate so with a "T" in the data element ISA15.
Request to submit and receive file svia sFTP once in Production
If you have any questions please call the ClaimShuttle Support Team at 602-439-2525, You can also contact SD Medicaid directly at 605-773-3495 or email DSS-Medicaid@dss.state.sd.us