Medicaid appeals in South Dakota: hearing deadline and keeping benefits
South Dakota Medicaid: you have 30 days to ask for a fair hearing.
Under federal Medicaid rules, your benefits continue if you ask for a hearing before the date the change takes effect; the notice must be mailed at least 10 days before that date.
Checked against official sources: October 30, 2026.
Appeal deadlines are strict. If you are near a deadline or your care is urgent, call free help today.
Medicaid (South Dakota Medicaid) denials in South Dakota
- Medicaid agency
South Dakota Department of Social Services (DSS)
- Who holds the hearing
DSS Office of Administrative Hearings
- Hearing deadline
30 days
The date of the notice of the action you disagree with (or of the conference decision); if the department failed to act, 30 days after it should have acted
- How to ask for a hearing
- Mail: Department of Social Services, Office of Administrative Hearings, 700 Governors Drive, Pierre, SD 57501
- Phone: Medicaid (medical assistance) hearing requests may be made orally to the Office of Administrative Hearings: 605-773-6851
- Email: Admhrngs@state.sd.us
- In person: Deliver a written request to the Office of Administrative Hearings, 700 Governors Drive, Pierre, SD 57501
- Mail address
Department of Social Services, Office of Administrative Hearings, 700 Governors Drive, Pierre, SD 57501
- What to include
Say which department action you are appealing and why, and give your address with zip code and your phone number. The deadline is stated on the department's notice.
Law: ARSD 67:46:01:08 (Medicaid hearings follow ch. 67:17:02); ARSD 67:17:02:03, 67:17:02:04(7) (amended 52 SDR 33, eff. 9/29/2025)
- Keeping your benefits during the appeal
Under federal Medicaid rules, your benefits continue if you ask for a hearing before the date the change takes effect; the notice must be mailed at least 10 days before that date.
Law: 42 CFR 431.230, 431.231; ARSD 67:46:01:08 (Medicaid hearings follow ch. 67:17:02); ARSD 67:17:02:03, 67:17:02:04(7) (amended 52 SDR 33, eff. 9/29/2025)
- When the hearing is held
In most cases the administrative law judge must mail a final decision within 90 days after your hearing request. To change the hearing date, contact the office at least 10 days before. If the hearing is set by phone and you want it in person, ask at least 5 business days before. Send exhibits at least 5 days before.
Law: ARSD 67:17:02; ARSD 67:46:01:08 (Medicaid hearings follow ch. 67:17:02); ARSD 67:17:02:03, 67:17:02:04(7) (amended 52 SDR 33, eff. 9/29/2025)
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Sources
The official sources for South Dakota are listed on the South Dakota page.