South Dakota performs well on redetermination performance, private coverage retention, fiscal sustainability, program integrity, CON law status, provider flexibility, and IMLC participation. The state also benefits from strong primary care provider supply and some APCD activity. On the other hand, South Dakota’s overall score is constrained by Medicaid expansion, no early work requirement activity, and no MCO presence.
Strengths
Strong redetermination performance and private-to-Medicaid coverage ratio
Restrained Medicaid spending growth
Strong improper payment and MFCU enforcement scores
No active CON law, broad provider practice authority, and IMLC participation
