Every state, kept current
The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full South Dakota state-specific services schedule has 34 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
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Published codes
34
state-specific and temporary HCPCS codes on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
Effective vintage
2026
latest effective year on the schedule
Common state-specific and temporary HCPCS codes and what South Dakota Medicaid pays
A curated sample of recognizable procedures from the 34-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | South Dakota rate | % of Medicare |
|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | $11.17 | -- |
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $44.68 | -- |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More South Dakota Medicaid fee schedules
State-Specific Services rates in neighboring states
Frequently asked questions
What does South Dakota Medicaid pay for state-specific and temporary HCPCS services?
South Dakota Medicaid publishes 34 state-specific and temporary HCPCS code rates effective 2026 on its fee-for-service schedule. The schedule covers clinic and screening encounters, telehealth facility fees, personal care, and other C, Q, S and T codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do South Dakota's state-specific services rates compare with Medicare?
Most state-specific services codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do state-specific and temporary HCPCS services need prior authorization in South Dakota?
South Dakota does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from South Dakota's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.