Specifications include, but are not limited to: The Division of Medical Services is issuing this request for proposals (RFP) from offerors to provide dental and orthodontic claims adjudication and other administrative services for the dental benefits provided under the South Dakota Medical Services program. The offeror selected as a result of this RFP will act in the capacity of an administrative service organization to the Division of Medical Services. Receive South Dakota Medicaid dental claims directly from South Dakota Medicaid dental providers: • Approximately 8,000 IHS dental claims annually; • Approximately 12,000 FQHC dental claims annually; and • Approximately 107,000 private practice claims annually. Adjudicate and pay South Dakota Medicaid dental and orthodontic claims in accordance with Federal and State regulations and according to the South Dakota Medicaid State Plan.
