1. Program Definition and Services

Assistive Technology (AT) Services in South Dakota include the assessment, customization, acquisition, and training of specialized devices. The program aims to increase functional independence, access to communication, and safety for individuals with disabilities in their daily lives. Services include:

• In-Home Support: Assistive technology evaluations, individualized device selection, programming, setup, and participant/caregiver usage training delivered in private or family home settings
• Residential & Facility Support: Specialized tool procurement, hardware/software installation, component adjustments, troubleshooting, and ongoing device maintenance coordinated across community-based or residential settings

2. Regulations

The program is governed by the following regulations:

• Administrative Rules of South Dakota (ARSD) Section 46:11:09:10(9) (Specialized Medical Adaptive Equipment and Supplies Standards)
• Administrative Rules of South Dakota (ARSD) Article 67:16 (South Dakota Medicaid Covered Services and Equipment Reimbursement)
• Federal Home and Community-Based Services (HCBS) Waiver Authorities under Section 1915(c) of the Social Security Act
• Title 42, Code of Federal Regulations, Section 440.70 (Federal Durable Medical Equipment and Medical Supplies Definitions)

3. Licensing or Certification

Providers must be formally enrolled as active Medicaid waiver service vendors or Durable Medical Equipment (DME) suppliers recognized by the South Dakota Department of Human Services (DHS) or Department of Social Services (DSS). Equipment evaluation and clinical justification must comply with relevant state professional practice boards.

4. Responsible State Agency

The South Dakota Department of Human Services (DHS) , Division of Developmental Disabilities (DDD) and the South Dakota Department of Social Services (DSS) , Medical Services Division are responsible for reviewing provider applications, issuing credentials, and approving specialized AT billing claims.

5. Application Process

The application process is conducted through the electronic South Dakota Medicaid Provider Enrollment Portal. Providers must submit formal agency configuration records, business license documentation, and specific HCBS waiver enrollment applications online to initiate the approval workflow.

6. Required Documentation

While specific documentation requirements vary based on the target waiver, providers typically need to submit:

• Proof of compliance with state safety, operational, and procurement guidelines
• Agency-specific Assistive Technology Services Policy & Procedure Manual
• Staff qualification records, technician training logs, and professional certifications
• Proof of comprehensive general liability and product liability/warranty insurance

7. Timeline for Approval

The exact timeline for approval fluctuates based on agency capacity. Providers should contact the DHS Division of Developmental Disabilities or DSS Medical Services Division for detailed information on current processing timeframes.

8. Pre-Application Process

Prospective providers must complete specific foundation tasks before applying. They must establish their business entity with the South Dakota Secretary of State, secure a Federal Employer Identification Number (EIN), and obtain a corporate Type 2 National Provider Identifier (NPI).

9. Pre-Application Training

The state hosts mandatory administrative, compliance, and Medicaid billing onboarding sessions online. Access details are sent to qualified applicants once preliminary portal documents and credentials have been verified by state reviewers.

10. Additional Notes

• All high-tech and custom devices require a comprehensive AT assessment and a formal statement of medical necessity from a qualified clinician before purchase authorization
• Smart home integrations or environmental controls must adhere strictly to all local building, electrical, and environmental safety codes
• Direct installation personnel and support technicians must pass mandatory state criminal background checks and abuse registry screenings
• Providers must maintain detailed service delivery logs, equipment tracking inventories, and signed caregiver device training verifications for Medicaid compliance audits

Why Choose Waiver Consulting Group?

Starting or expanding your Medicaid waiver-funded agency can feel overwhelming, but it doesn't have to be. At Waiver Consulting Group, we simplify the process by guiding you through licensing, compliance, provider enrollment, policies & procedures, and regulatory approvals in any state.

With proven expertise, a structured process, and ongoing support, we take the guesswork out of launching your healthcare business. Whether you're a first-time entrepreneur or an established provider looking to expand, our team ensures you stay compliant, competitive, and fully operational.

To get started, click the link to request portal access.