South Dakota Medicaid skilled nursing rates
South Dakota Medicaid pays $251.67 for nursing home stay (daily rate) delivered by a physician or licensed psychologist, effective July 1, 2026, the 13th highest of 22 states with comparable rates.
- Nursing home stay (daily rate)
- $251.67
- Rank among states
- 13 of 22-6.4% vs median
- Registered nurse median wage
- $37.53BLS May 2025
- South Dakota minimum wage
- $11.85
South Dakota skilled nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open South Dakota's official fee schedule.
| Service | Provider level | Code | SD rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Nursing home stay (daily rate) | Physician or licensed psychologist | $251.67 | — | — | 13 of 22 | $268.93 | $9.07 | $826.00 | 22 | |
| Hospice room and board in a nursing home | All levels | Not published | $296.46/day | $196.85 | $1,051.23 | 6 | ||||
Nursing home stay (daily rate): where South Dakota ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New Mexico | $826.00 | — | — | 2026-07-01 |
| 2 | Colorado | $419.22 | — | — | 2025-10-01 |
| 3 | Rhode Island | $381.06 | — | — | 2026-10-01 |
| 4 | Washington | $373.84 | — | — | 2026-07-01 |
| 5 | Kentucky | $365.78 | — | — | 2025-10-01 |
| 6 | Maryland | $351.63 | — | — | 2026-07-01 |
| 7 | North Carolina | $326.33 | — | — | 2022-11-01 |
| 8 | California | $324.03 | — | — | 2026-01-01 |
| 9 | Nebraska | $321.16 | — | — | 2026-07-01 |
| 10 | Mississippi | $285.90 | — | — | 2026-04-01 |
| 11 | New Jersey | $282.59 | — | — | 2026-07-01 |
| 12 | Pennsylvania | $255.27 | — | — | 2025-04-01 |
| 13 | South Dakota | $251.67 | — | — | 2026-07-01 |
| 14 | Illinois | $248.95 | — | — | 2026-10-01 |
| 15 | Oklahoma | $246.26 | — | — | 2026-07-01 |
| 16 | Wisconsin | $226.35 | — | — | 2016-01-01 |
| 17 | Montana | $220.15 | — | — | 2026-07-01 |
| 18 | Missouri | $210.39 | — | — | 2024-01-01 |
| 19 | Connecticut | $107.21 | — | — | 2021-07-01 |
| 20 | Michigan | $99.90 | — | — | 2026-01-01 |
| 21 | Arkansas | $70.00 | — | — | 2025-07-01 |
| 22 | District of Columbia | $9.07 | — | — | 2026-04-01 |
What it costs to deliver in South Dakota
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | SD median | US median | vs US |
|---|---|---|---|
| Registered nurse | $37.53 | $46.90 | -20.0% |
| Licensed practical nurse | $25.36 | $30.96 | -18.1% |
| Nursing assistant (CNA) | $18.65 | $20.32 | -8.2% |
Recent South Dakota skilled nursing rate changes
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from South Dakota's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.