Medicaid Health Home Provider Selection/Change Form is a legal document that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota.
Q: What is the Medicaid Health Home Provider Selection/Change Form?
A: The Medicaid Health Home Provider Selection/Change Form is a form used in South Dakota to select or change your Medicaid Health Home provider.
Q: Who can use the Medicaid Health Home Provider Selection/Change Form?
A: Any individual enrolled in South Dakota Medicaid can use the form to select or change their Health Home provider.
Q: What is a Medicaid Health Home provider?
A: A Medicaid Health Home provider is a healthcare organization or provider that coordinates and manages all aspects of an individual's healthcare.
Q: Why would someone want to change their Medicaid Health Home provider?
A: There could be various reasons why someone may want to change their Medicaid Health Home provider, such as wanting to switch to a provider closer to their home or finding a provider that better meets their healthcare needs.
Q: How do you fill out the Medicaid Health Home Provider Selection/Change Form?
A: The form requires you to provide your personal information, Medicaid ID, and the name and contact information of the provider you want to select or change to.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.