Centers for Medicare & Medicaid Services

Health Insurance Coverage in South Dakota

Health Plan Overview

Insurance CompanyCenters for Medicare & Medicaid Services
StateSouth Dakota
Websitemedicaid
Number of Hospitals in Network20
Number of Plans Offered16

Network Hospital Locations

Hospitals in Network (20)
Prairie Lakes Healthcare SystemBrookings Health SystemSanford USD Medical CenterBlack Hills Surgical HospitalSanford Aberdeen Medical CenterMadison Regional Health SystemDouglas County Memorial HospitalSanford Clear Lake Medical CenterCommunity Memorial HospitalSanford Webster Medical CenterBennett County HospitalCommunity Memorial HospitalBowdle Healthcare CenterHans P. Peterson Memorial HospitalFall River Health ServicesMobridge Regional HospitalSanford Chamberlain Medical CenterSanford Canton-Inwood Medical CenterHuron Regional Medical CenterSanford Vermillion Medical Center

Available Plans

CATASTROPHIC

1 plan

EPO

1 plan

FEE-FOR-SERVICE

1 plan

HMO

1 plan

LIMITED BENEFIT PLANS

1 plan

MANAGED CARE

1 plan

MEDICAID

1 plan

MEDICARE ADVANTAGE

1 plan

MEDICARE SUPPLEMENT

1 plan

OTHER

1 plan

PBM

1 plan

POS

1 plan

PPO

1 plan

PROGRAM FOR DUAL ELIGIBLES

1 plan

SELF FUNDED

1 plan

WAIVERS

1 plan

Plan Details
Plan NamePlan Type
MedicaidMEDICAID
MedicaidFEE-FOR-SERVICE
MedicaidMANAGED CARE
MedicaidWAIVERS
MedicaidPROGRAM FOR DUAL ELIGIBLES
MedicaidLIMITED BENEFIT PLANS
MedicaidOTHER
MedicaidPPO
MedicaidHMO
MedicaidEPO
MedicaidPOS
MedicaidSELF FUNDED
MedicaidPBM
MedicaidCATASTROPHIC
MedicaidMEDICARE ADVANTAGE
MedicaidMEDICARE SUPPLEMENT

Recent News

State Leadership

Medicaid

Division Director

Division Director at the South Dakota Department of Social Services, overseeing all areas of the Medicaid Program, except for the eligibility criteria which is handled by the Division of Economic Assistance. [1, 3]

Medicaid

Former Director of the Division of Medical Services

Served as the Director of the Division of Medical Services within the South Dakota Department of Social Services overseeing the state's Medicaid program from November 2021 to July 2023. [5] Previously worked in South Dakota's Medicaid program in various capacities, including serving as Director of Fiscal Policy for the South Dakota Association of Health Care Organizations. [5] Holds a bachelor's degree in chemistry and political science from the University of South Dakota. [5, 7]

Medicaid

Former Medicaid Director

Served as Medicaid Director for the State of South Dakota from 2017 to 2021. [6] He oversaw a $1B annual budget and led a team responsible for ensuring 125,000 vulnerable people have access to medications and medical, dental, and long-term care. [6] He also helped to expand value-based purchasing and ensured compliance with CMS and other state and federal regulations. [6] He has 25 years of experience in the fields of insurance and managed care. [6]