South Dakota denied-claim help
Labor and delivery limit reached
South Dakota Medicaid covers one T1033 labor and delivery visit per recipient per pregnancy and requires physical presence with related prenatal/postpartum services.
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Quick path
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- 1Find the rule for your stateStart with the state where the client has Medicaid coverage.Choose your state
- 2Check what is missingReview setup, visit notes, codes, and payer steps before billing.Use the checklist
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Labor and delivery limit reached
South Dakota Medicaid covers one T1033 labor and delivery visit per recipient per pregnancy and requires physical presence with related prenatal/postpartum services.
Next action
Confirm T1033 has not already been billed for this pregnancy and that prenatal/postpartum services were also provided.
Sources for this denial
Denial pages use the same checked state sources as the app.
SD Medicaid Doula Services Billing and Policy ManualSouth Dakota Department of Social Services / SD Medicaid · Updated December 2025; doula benefit effective January 1, 2025; T1032 timed unit, T1033 labor/delivery, $1,800 per-pregnancy cap, referral within 90 days · checked 2026-06-19SD Medicaid Doula Services Fee ScheduleSouth Dakota Department of Social Services / SD Medicaid · Doula Services fee schedule (Current SFY): T1032 $16.87 per 15-minute unit, T1033 $600 per delivery · checked 2026-06-19