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extend Medicaid postpartum coverage.

This bill extends Medicaid coverage for women after childbirth from the current period to a full 12 months postpartum (one year after delivery). The state's Department of Social Services must submit paperwork to federal officials by August 1, 2023 to implement this extended coverage.

expand postpartum medicaid coverage.

South Dakota will extend Medicaid coverage for pregnant women and new mothers from the current period to a full 12 months after pregnancy ends. The Department of Social Services must request federal approval by September 1, 2023, to implement this expanded coverage, which allows women to keep their Medicaid benefits for a year postpartum instead of losing coverage sooner.

annually adjust the rate for community-based providers to one hundred percent of methodology.

Starting in 2023, South Dakota will annually increase the payment rates for community-based providers so they receive 100 percent of the established methodology cost—meaning providers get paid their full calculated costs rather than a reduced percentage. This change applies to all community-based providers covered under chapter 28-22, as long as federal funding rules allow it.

continue enhanced and transitional rates for community services and support providers.

This bill requires the state Department of Human Services to keep the higher payment rates for community services and support providers that were in place in fiscal year 2023, and to increase those rates each year to account for inflation. This ensures that organizations providing community-based services receive stable, predictable funding going forward rather than reverting to lower payment levels.

require updated cost report information for certain community-based health and human services providers.

South Dakota's two social services departments must now update cost report information annually for community-based health and human services providers, rather than waiting up to five years between comprehensive reviews. This change allows the state to adjust payment rates more frequently based on current provider costs, while still conducting full rate analyses at least every five years or more often if needed.