Form DSS-MS-101 Advance Recipient Notice of Non-coverage - South Dakota

What Is Form DSS-MS-101?

This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DSS-MS-101?
A: Form DSS-MS-101 is the Advance Recipient Notice of Non-coverage.

Q: What does this form pertain to?
A: This form pertains to non-coverage of certain healthcare services in South Dakota.

Q: Why would I receive this form?
A: You would receive this form if a healthcare service you are requesting is not covered by your insurance or Medicaid in South Dakota.

Q: What should I do if I receive this form?
A: If you receive this form, you should review it carefully and consider alternative options for obtaining the necessary healthcare services.

Q: Can I appeal the non-coverage decision?
A: Yes, you have the right to appeal the non-coverage decision. The form provides information on how to initiate an appeal.

Q: Is this form specific to South Dakota?
A: Yes, this form is specific to South Dakota and its Medicaid program.