long term services and supports
Provider Resources
Adult Day Services Provider Provisions
Adult Day Services Provider Grant Application
- DHS Subrecipient Questionnaire
- ADS Service Unit Projection Template
- Certificate of Liability Coverage Example-Redacted
- South Dakota Streamlined Sales Tax Agreement
All Providers
- Therap Implementation Delay Letter
- 681 LTSS Critical Incident Report
- FY 2023 Fee Schedule
- Obtaining ICD-10 Codes
- 702 Mental Health Certificate of Medical Necessity
- Timely Filing Memo
- Therap Q&A December 2020
- Payment Limits Process Memo
- Claims Resolution Template
Assisted Living/Community Living Home Providers
- SFY 2023 Assisted Living Rate Memo
- SFY 2022 Assisted Living Rate Memo
- FY 2021 Assisted Living Reimbursement Rates
- FY 2022 Assisted Living Provider Provision
- FY23 Assisted Living Provider Provisions
- FY23 Community Living Home Provider Provisions
- Community Living Home Guide
- HCBS Final Rule
In-Home Providers
- SFY 2023 In Home Rate Memo
- FY23 In-Home Provider Rate Verification form
- FY22 LTSS In-Home Services Schedule
- FY23 LTSS In-Home Services Schedule
- FY 2022 In-Home Supplemental Provision
- FY23 In-Home Provider Provisions
- EVV
- In-Home Provider County Coverage Survey
Interpretrer Providers
Enviromental Accessibility Adaptations (EAA) Providers
MEALS
- FY 2022 Meal Fee Schedule
- FY 2023 Meal Fee Schedule
- SFY 23 Supplemental Provisions for the Nutrition Program to include Waiver
Adult Nutrition Provider Grant Application
Nursing Facilities
- Nursing Home Rates
- October 1, 2020 - OBRA/PDPM MDS Items Training Slide Deck
- October 1, 2020 - OBRA/PDPM MDS Items Training Recording
Providers
- Discharge Planning PASRR Manual
- Pre-Screening Admissions for Nursing Facility or Swing Bed: October 2017
- FAQs for MDS 3.0 Implementation
- SD Section S
- Hospital Expemption from Pre-Admission Screening Form
- PASRR
Providers checklist for specialized add-pay services :
- Challenging Behavior Add-Pay Request and Renewal Form
- Chronically Ventilator Dependent Add-Pay Request and Renewal Form
- Specialized Skin or Wound Care Add-Pay Request and Renewal Form
- Spinal Cord Injury Therapy Add-Pay Request and Renewal Form
- Total Parenteral Nutrition Add-Pay Request and Renewal Form
- Traumatic Brain Injury Therapy Add-Pay Request and Renewal Form
- Multiple Chronic Complex Medical Conditions Add-Pay Request and Renewal Form
- Time Study Template
- Updated Time Study Template Instructions
Structured Family Caregiving Providers
- FY2022 Structured Family Caregiving Provider Provision
- FY23 Structured Family Caregiving Provider Provisions
- Structured Family Caregiving Guide
- Structured Family Caregiving Presentation - Webinar
Transportation
WEBINARS