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Department of Social Services

Medical Services

The effect of the rule changes is to update hospital reimbursement methodologies including inpatient and outpatient hospital services for both instate and out-of-state hospitals to more closely align with industry standards, repeal rules that are duplicative of federal regulation or other rules, update transportation accompaniment rules to comply with federal guidance, update the Primary Care Provider (PCP) program rules to reflect the essential role of the PCP is coordination of care in alignment with Social Security Act §1905(t), clarify expansion adults are to participation in the PCP program, and to make style and form changes.

New content is added below as the draft rules move through the rule-making process.

Agency Rules Hearing

Interim Rules Hearing

Important Dates
Public Hearing:
Comment Deadline:
Interim Rules Committee Hearing:
Filed-Secretary of State:
Rule Effective:

09/10/2025
09/20/2025
10/07/2025

Agency Contact: Teresa Schulte mail to: DSSAdminRules@STATE.SD.US