Coverage profile
Work Medicaid South Dakota across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid South Dakota.
Other aliases
Also known as
- 10180
- 12K36
- 4478
- SD
- SD48MED
- SDCAID
- SDMCD
- SKSD0
- TLZ29
- South Dakota Department of Social Services
- South Dakota Medicaid
- SDMEDICAID
2027 maternity billing research
When does Medicaid South Dakota change OB/GYN billing?
Global obstetric codes remain valid for dates of service through December 31, 2026. Providers may elect to bill obstetrical services individually before January 1, 2027. Routine prenatal and postpartum E/M uses modifier TH. Labor and delivery may use delivery-only codes 59409, 59514, 59612, or 59620.
- Transition start
- Not stated in the approved quotes
- Billing start
- 2027-01-01 — global codes no longer the only method before that date
- Published
- 2026-09-04
- Current As Of
- October 2026
Scope: South Dakota Medicaid providers.
Obstetrical Services Billing Changes. Verify the payer source before claim submission.
Frequently asked questions
Medicaid South Dakota payer FAQs
What is the payer ID for Medicaid South Dakota?
The primary payer ID for Medicaid South Dakota is SD. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Medicaid South Dakota?
The 837P and 837I payer ID for Medicaid South Dakota is SD via Stedi.
What is the 835 payer ID for Medicaid South Dakota?
The 835 payer ID for Medicaid South Dakota is SD via Stedi.
What is the 270 payer ID for Medicaid South Dakota?
The 270 payer IDs for Medicaid South Dakota are SD via Stedi and SD via Availity.
What state does Medicaid South Dakota operate in?
Medicaid South Dakota operates in SD.
Routing reference
Medicaid South Dakota payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Medicaid South DakotaSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | SDSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | SDEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | SDEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | SDEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | SDSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | SDSource: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Medicaid South Dakota. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: MEDICAID SOUTH DAKOTA. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.