Required Policies and Procedures

The following policies are required to be submitted to SD Medicaid as part of the provider enrollment process.

• Abuse and Neglect Reporting Policy
• Staffing Policy
• Staff Training Policy
• Intake/Admission Policy
• Discharge Policy
• Eligible Recipient Confidentiality Policy
• Recipient Rights and Responsibilities Policy
• Documentation Policy and Procedures
• Incident Reporting Policy
• Emergency Response Policy
• Health and Safety Including Universal Precautions Policy
• Quality Assurance Policy
• Eligible Recipient Grievances Policy
• Gifting Policy

Further details regarding the above policies can be found within the CHW Agency Addendum.

Many organizations likely have most, if not all, of the required policies and procedures already in place. Organizations should work to gather the policies and procedures that they have and then review to ensure they meet the requirements listed in the CHW Agency Addendum.

If an organization does not have a required policy or procedure, the CHWSD has worked to draft sample policies and procedures that can be reviewed and approved by the organization.

Organizations that do not have all required policies and procedures should work internally within their organization to get approval to adopt the new and/or updated policies. This may require board approval, policy committee approval, or other internal approvals. This process is unique to each organization and organizations are responsible for getting all new and/or updated approvals adopted internally.

Policies and procedures should be submitted to SD Medicaid for review in the same order as the CHW Agency Addendum and submitted as one PDF document with clearly labeled headers for each policy. Policies and procedures should be emailed to SDMedXGeneral@State.SD.US.