Page 162 State Telehealth Laws and Reimbursement Policies A Comprehensive Scan of the 50 States and District of Columbia

Center for Connected Health Policy

South Dakota

Medicaid Program: South Dakota Medicaid

Medicaid Program Administrator: South Dakota Dept. of Social Services

Regional Telehealth Resource Center:
Great Plains Telehealth Resource and Assistance Center
University of Minnesota/Institute for Health Informatics
330 Diehl Hall
505 Essex Street S.E.
Minneapolis, MN 55455
(888) 239-7092
www.gptrac.org

STATE LAW/REGULATIONS MEDICAID PROGRAM
Definition of telemedicine/telehealth

"Telehealth services" is a home based health monitoring “Telemedicine is the use of an interactive
system used to collect and transmit an individual's telecommunications system to provide two-way, real-
clinical data for monitoring and interpretation. time, interactive communication between a provider and
an individual across a distance to access health
Source: SD Regulation 67:40:18. assessment, diagnosis, intervention, consultations,
supervision and information services. The term
telehealth and telemedicine are used interchangeably by
South Dakota Medicaid.”

Source: SD Medical Assistance Program, Professional Svcs.
Manual, p. 26 (Nov. 2014).
Live Video Reimbursement

No reference found. South Dakota Medicaid will reimburse for the following
services at the same rate as in-person services:
(also see Medicaid column)
• Patient office consultation
• Inpatient hospital consultation
• Pharmacologic management
• Office or other outpatient visit
• Diabetes outpatient self-management education
services
All telemedicine services must comply with South
Dakota Medicaid’s Out-Of-State Prior Authorization
Requirements.

Source (authorization and eligible services): SD Medical
Assistance Program, Professional Svcs. Manual, p. 27 (Nov.
2014).

Source (pharmacological management): SD Administrative Rules
46:20:32:08.
Store and Forward Reimbursement

No reference found. South Dakota Medicaid defines telemedicine as
occurring in “real time”, excluding store and forward

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