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South Dakota Medicaid Billing and Policy Manual — Home Health Agency Services, Home Health Documentation (Records)

South Dakotasub-regulatorySouth Dakota Department of Social Services, Division of Medical Services (South Dakota Medicaid)

What this rule requires your agency to do

  • 1The provider must document in the medical record that each claimed service was authorized by the attending physician or other licensed practitioner. (SD Medicaid Manual — Home Health Agency Services, Home Health Documentation)(South Dakota Medicaid Billing and Policy Manual — Home Health Agency Services, Home Health Documentation (Records))
  • 2The provider must keep legible medical and financial records that fully justify and disclose the extent of the services provided and billed to South Dakota Medicaid. (SD Medicaid Manual — Documentation and Records (General))(South Dakota Medicaid Billing and Policy Manual — Home Health Agency Services, Home Health Documentation (Records))
  • 3The provider must ensure each recipient's medical record contains documentation verifying that the claimed service was actually performed. (SD Medicaid Manual — Home Health Agency Services, Home Health Documentation)(South Dakota Medicaid Billing and Policy Manual — Home Health Agency Services, Home Health Documentation (Records))
  • 4The provider must maintain evidence that services were delivered, including the beginning and ending times of services and the dates of services (electronic visit verification documentation). (SD Medicaid Manual — Home Health Agency Services, Home Health Documentation / EVV)(South Dakota Medicaid Billing and Policy Manual — Home Health Agency Services, Home Health Documentation (Records))
  • 5The provider must retain these records for at least six years after the last date a claim was paid or denied. (SD Medicaid Manual — Documentation and Records (General))(South Dakota Medicaid Billing and Policy Manual — Home Health Agency Services, Home Health Documentation (Records))
  • 6The provider (home health agency) must maintain a medical record for each recipient receiving services. (SD Medicaid Manual — Home Health Agency Services, Home Health Documentation)(South Dakota Medicaid Billing and Policy Manual — Home Health Agency Services, Home Health Documentation (Records))

Applies to: home health

South Dakota does not require state licensure for certified home health agencies (it defers to federal CMS Conditions of Participation), so the on-point state-level records authority for home health is the South Dakota Medicaid provider manual. It requires home health agencies to maintain a medical record for each recipient, to document that each billed service was performed and physician-authorized, to keep electronic-visit-verification evidence of service times and dates, and to retain records for at least six years after a claim is paid or denied.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.