South Dakota Behavioral Health Reimbursement Rates
South Dakota behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.
Medicare 90837
$160.32
Medicaid 90837
$129.86
Commercial (est.)
$100.00–$135.00
Key CPT Code Rates — South Dakota
CPT 90791
Diagnostic Evaluation
Medicare: $166.42
Medicaid: $134.80
CPT 90832
Psychotherapy, 30 min
Medicare: $82.41
Medicaid: $66.75
CPT 90834
Psychotherapy, 45 min
Medicare: $109.34
Medicaid: $88.57
CPT 90837
Psychotherapy, 60 min
Medicare: $160.32
Medicaid: $129.86
Medicaid in South Dakota
South Dakota Medicaid uses a managed care model. Published estimates approximate 81% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type.
Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.
Source: South Dakota Medicaid fee schedule (effective 2026-01-01).
Explore South Dakota Rates
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