This state plan amendment incentivizes DD TCM staff to complete the Person-Centered Thinking (PCT) and the Fatal Five for Case Managers training to improve the quality of care and quality of life for individuals with developmental disabilities.

The SPA implements a 90-day grace period for behavior technicians to be covered under the other licensed practitioner Medicaid benefit while working to acquire the Registered Behavior Technician credential.

This plan amendment increased the rates for air ambulance services to better align with Medicare.

This plan amendment provides supplemental payments to eligible providers under physician services.

This plan amendment will implement a new fee schedule rate for MTM.

This amendment removes the list of specific drug categories for prescription drugs under EPSDT, as well as add language that states that certain prescription drugs are exempt from the prescription quantity limitations and will be listed on the agency’s website.

This amendment allows for coverage of select over-the-counter drugs manufactured by a firm that does not have a signed rebate agreement with the United States Department of Health and Human Services. Additionally, it allows South Dakota Medicaid to enter into value-based agreements with manufacturers on a voluntary basis.

This plan amendment proposes an inflationary increase to Community Mental Health Centers and Substance Use Disorder Agencies.

This amendment is to update the state plan to waive the Recovery Audit Contractor (RAC) Program.