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South Dakota referral requirements
How to refer a Medicaid member to covered doula care in South Dakota
Use South Dakota Medicaid doula services sources to help a Medicaid member find and confirm doula support. Keep private member intake in your compliant system.
Confirm eligibility and plan in your own compliant system.
Use official program or directory links.
Do not send client details through public forms.
What to tell the member
Share program and referral requirements. Add member details only inside your organization's approved system.
Program requirements
- Program: South Dakota Medicaid doula services
- Referral or recommendation: Retain the licensed-practitioner referral (or the care management program provider referral for BabyReady, Primary Care Provider Program, or Care Connect members); referrals may be made retroactive up to 60 days at the practitioner's discretion.
- Registry or provider setup: All servicing and billing NPIs must be enrolled with South Dakota Medicaid; doulas must be credentialed through a SD Medicaid-recognized oversight body (temporary bridge list includes DONA International, CAPPA, ICEA dual certificate, and others).
- Payer path: SD Medicaid Online Portal (DSS); CMS-1500 / 837P
Client privacy reminder
Do not put member names, Medicaid IDs, dates of birth, service dates, claim numbers, visit notes, or diagnoses in public forms, screenshots, or shared links.