50-State Regulatory Atlas South Dakota
State licensing summary
South Dakota: healthcare licensing and regulation
South Dakota: no state agency license; no certificate of need; compact member. Regulator: South Dakota Department of Health (South Dakota does not require state licensure for certified agencies).
Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.
10 findings: 10 verified. How findings are sourced and labelled.
At a glance
- License
- No state agency license issuedVerified
- Regulator
- South Dakota Department of Health
- Branch offices
- No state agency licenseVerified
- Certificate of need
- No certificate of needVerified
- Service area
- No state licensing area.Verified
- In-state office
- See out-of-state rules below
- Medicare certification
- Separate federal step, only for agencies that bill MedicareVerified
Home health licensing
State license
VerifiedNo. “South Dakota does not require state licensure for certified HHAs.” Non-medical in-home providers are not regulated by the Department of Health.
In practice: Hold the authority the state requires before the first patient is admitted there, and keep its number, category and expiry with the office it covers.
Source: SD DOH: Home health agencies
Certificate of need
VerifiedNo.
In practice: No certificate of need step for home health.
Source: SD DOH: Home health agencies
Branch offices
VerifiedNo state license, so branch rules follow Medicare where the agency is certified.
In practice: Track each office’s authority on its own where the state licenses offices separately, and with the parent where it lists them.
Source: SD DOH: Home health agencies
Service area
VerifiedNo state licensing area.
In practice: Check the patient’s address against the approved service area before accepting a referral.
Source: SD DOH: Home health agencies
Out-of-state agencies
VerifiedNo state agency license barrier.
In practice: A license in one state does not authorize care in another; the patient’s state decides.
Source: SD DOH: Home health agencies
Home infusion nursing
Home infusion nursing
VerifiedNo state agency license applies. Nurse licensure still applies.
In practice: Confirm the license category before staffing infusion visits in this state.
Source: SD DOH: Home health agencies
Staffing and nurse licensure
Nurse licensure (compact)
VerifiedMember of the Nurse Licensure Compact, implemented. A nurse with a multistate license from another compact state may practice here; the agency still needs this state’s own authority to operate.
In practice: Check each nurse’s license against the patient’s state, not the agency’s.
Detailed state rules for staffing agencies in this state are being added.
Medicare, hospice and VA programs in this state
South Dakota is not one of the six states in CMS’s Review Choice Demonstration for home health (Illinois, Ohio, Texas, North Carolina, Florida, Oklahoma).
Source: CMS: Review Choice Demonstration for Home Health Services
South Dakota is not one of the six states (Arizona, California, Nevada, Texas, Georgia, Ohio) where CMS applies its provisional period of enhanced oversight to newly enrolling hospices.
Source: CMS Medical Review: Hospice
VA Community Care Network region
VerifiedSouth Dakota is in Community Care Network Region 2, administered by Optum. Agencies join by contracting with the regional third-party administrator, not with VA. VA has re-procured the network as CCN Next Generation with two regions, East and West; which administrator serves which region from 2027 was not announced in the sources reviewed.
Time-sensitive. Region assignments change with CCN Next Generation; recheck VA’s announcements during 2027.
Source: VA: Community Care Network
Federal rules that apply in every state
Medicare certification
VerifiedMedicare certification under the home health Conditions of Participation (42 CFR Part 484) is a federal step for agencies that bill Medicare home health. It is separate from the state license. Where a state ties entry to certification, that state’s findings say so.
In practice: A branch serving a portion of the parent’s area is supervised and administered by the parent agency (42 CFR 484.2).
Source: 42 CFR 484.2
For a Medicare-certified agency, “its personnel must be qualified in all States in which they provide services” (State Operations Manual § 2184).
In practice: Nurse licensure follows the patient’s state.
Medicare’s home infusion therapy benefit is a separate Part B supplier benefit, not a home health benefit. It pays an accredited, qualified home infusion therapy supplier for professional services tied to specific parenteral drugs given through a pump that is durable medical equipment (42 CFR Part 486, Subpart I).
In practice: Most pharmacy-dispensed home infusion is not billable under this benefit; nursing for those patients is usually paid by other payers or under contract.
Compared with Texas
No state agency license.
Other service lines
State rules for these lines are being added to the guide: Medicare home health, Medicare home infusion therapy benefit, Infusion pharmacy, Hospice, Private duty nursing, Personal care and Medicaid HCBS, VA community care, Infusion suites.
Look up a licensed provider
- SD Healthcare Licensing System — Verify VerifiedSouth Dakota Department of Health, Office of Health Facilities Licensure & Certification
The DOH provider list searchable by license type.
- Health facility survey reports VerifiedSouth Dakota Department of Health
Published survey reports, including home health agency and hospice pages.
National lookups
- Medicare Care Compare — Home health
Medicare-certified home health agencies with quality ratings and services offered.
- Medicare Care Compare — Hospice
Medicare-certified hospices with quality measures.
- CMS Provider Data Catalog — Home Health Care Agencies (6jpm-sxkc)
All Medicare-registered home health agencies with CCN, address, ownership, services, certification date and quality measures, as CSV and an unauthenticated API.
- CMS Provider Data Catalog — Hospice – General Information (yc9t-dgbk)
Medicare-certified hospices with CCN, address, county, ownership type and certification date, as CSV and an unauthenticated API.
- CMS QCOR — HHA 2567 Statements of Deficiencies
Federal survey statements of deficiencies for home health agencies, filterable by state, survey type, tag and CCN, with a full-dataset XLSX download.
- CMS QCOR — Hospice 2567s
Federal survey statements of deficiencies for hospices.
- NPPES NPI Registry
National Provider Identifier records with addresses, authorized official and taxonomies, with a public API.
- HHS-OIG List of Excluded Individuals/Entities (LEIE)
Individuals and entities excluded from federal health care programs, with a monthly downloadable database.
- SAM.gov Exclusions
Federal exclusion records across agencies.
- Nursys QuickConfirm
Nurse license status, discipline / board-issued alerts and expiry, free to employers and the public.
Associations
No dedicated state association found; the associations below are broader healthcare associations. See also national associations.
- South Dakota Association of Healthcare Organizations (SDAHO)home health, hospice, palliative care · broader healthcare association
A multi-provider healthcare association that includes home health and hospice and palliative care, offering webinars, continuing education and a member directory.
Official sources
About this guide. Published and maintained by Paloma Health Technologies; Findings are cited to official sources, dated and status-labelled; see the editorial policy. Educational summary, last reviewed October 17, 2026. Not legal advice — confirm with the state licensing agency or counsel.