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Get Medicaid Travel Reimbursement Form

E overnight meets the lodging requirement criteria. * The Department of Social Services reserves the right to deny coverage for any request made outside the general coverage guidelines of these rules. TITLE XIX Non-emergency Medical Transportation Reimbursement of Contact Information: Department of Social Services Office of Finance/EBT, 700 Governors Drive Pierre, SD 57501 State Office: 605-773-6527 Toll Free: 1-866-403-1433 Fax: 605-773-8461 Mileage Lodging Meals A program by the South Dako.

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