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Start a business · ABA provider · South Dakota

How to start an ABA practice in South Dakota

South Dakota requires a Licensed Behavior Analyst from South Dakota Board of Examiners of Psychologists (with the Applied Behavior Analyst Advisory Committee) to operate an ABA practice. Fee: $650.

Verified Oct 6, 2026Sources: state agencies, CMS and OIG

License required
YesLicensed Behavior Analyst
Application fee
$650
Processing time
—
One-on-one ABA therapy by a technician
$21.73per 15 min · $86.92/hr
Organizations in the state
28NPPES, Sep 13, 2026
On this page
Licensing

South Dakota aba provider license

South Dakota requires a Licensed Behavior Analyst from South Dakota Board of Examiners of Psychologists (with the Applied Behavior Analyst Advisory Committee) to operate an ABA practice. Fee: $650.

License required
Yes
License
Licensed Behavior Analyst
Fee
$650
Fee details
Initial application fee $350 plus the annual licensing fee of $300, both due with the initial application (ARSD 20:85:01:04).
Renewal
Every year · Annual licensing fee $300.
Professional license
board: South Dakota Board of Examiners of Psychologists — Applied Behavior Analyst Advisory Committee; statute: SDCL ch. 36-38 (e.g., 36-38-8 to 36-38-10, 36-38-27); ARSD art. 20:85; behavior analyst: State license with annual fee.; assistant behavior analyst: No assistant license appears in ARSD article 20:85.; technician: No technician license or registration appears in ARSD article 20:85.
Regulation
SDCL 36-38; ARSD 20:85:01:04
How to apply

Steps to get licensed in South Dakota

In order, as the licensing agency describes the process.

  1. Meet SDCL 36-38 behavior analyst licensure requirements
  2. Apply with the $350 application fee and the $300 annual licensing fee
  3. Pay the $300 licensing fee every year
Medicaid

Enrolling as a South Dakota Medicaid provider

Program
South Dakota Medicaid (Department of Social Services, Division of Medical Services)
Application fee
SD Medicaid's enrollment page says no application fee is charged. (Federal rule 42 CFR 455.460 allows the fee; CMS set it at $750 for 2026.)
Fingerprinting
Under federal rules (42 CFR 455.434 and 455.450), the state places provider types in 'limited', 'moderate' or 'high' risk levels. High-risk providers, and anyone who owns 5% or more of one, must submit fingerprints for a criminal background check. The SD DSS enrollment page we could reach does not describe a separate state fingerprint process (its maintenance/revalidation page returned an error).
Site visit
Under federal rule (42 CFR 455.432), the state must visit moderate- and high-risk providers before and after enrollment. Every enrolled provider must allow unannounced on-site inspections. The SD DSS enrollment page we could reach does not describe a separate state site visit process.
Revalidation
Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled provider at least once every 5 years. SD Medicaid ran a portal-wide revalidation when the PE Portal launched in 2021 (due June 7, 2021). Records that could not be revalidated were terminated, and existing providers did not have to re-sign provider agreements.

Full South Dakota Medicaid enrollment guide →

Certificate of need

Does South Dakota require a certificate of need?

CON program
No
Moratoria
A nursing facility bed moratorium dates to 1988 and was extended indefinitely in 2005 (SDCL 34-12-35.4). The Department of Health may let a facility add beds or approve a new nursing facility only by redistributing beds from closed facilities or voluntarily surrendered beds, so the statewide total cannot exceed the 2005 level. Redistribution runs through periodic requests for proposals (held most years from 2013 to 2025), and the department reports annually to the Legislature on the need for more beds (SB 6, 2017).

South Dakota certificate of need details →

Labor

South Dakota wage floor

State minimum wage
$11.85 an hour
Effective
2026-01-01
Scheduled increases
Adjusted each January 1 by CPI; the state publishes the new rate by October 15. The 2027 rate was not yet found.
HCBS 80/20 rule
Federal baseline: 42 CFR 441.302(k) requires the state to show that each provider spends at least 80% of Medicaid payments for homemaker, home health aide and personal care services under 1915(c) waivers on direct care worker pay and benefits. Compliance starts 2030-07-09 (for managed care, the first rating period starting on or after that date); annual payment-adequacy reporting under 441.311(e) starts 2028-07-09. A state may set a lower share for state-defined small providers and exempt providers facing hardship, each only through a public notice-and-comment process. The eCFR text has not changed since 2024-07-09. No state-published 80/20 implementation step (small-provider criteria, hardship exemption or reporting guidance) was found for this state in the official sources reviewed.
Market

South Dakota market size

Counts from federal public files: NPPES (active organization NPIs), CMS Care Compare and CMS Medicaid enrollment.

Applied behavior analysis organizations — active organization NPIs (NPPES)
28 (as of Sep 13, 2026)
Total Medicaid and CHIP enrollment (latest reported month)
138,321 (as of Jun 1, 2026)
Rates

What South Dakota Medicaid pays

Applied behavior analysis (ABA): published South Dakota fee-for-service rates, each linked to its source.

ServiceCodeSouth Dakota ratePer hourRank
One-on-one ABA therapy by a technicianBehavior technician97153$21.73per 15 min$86.926 of 42
ABA therapy with plan changes by an analystBehavior analyst97155$39.00per 15 min$156.005 of 41
ABA assessment by a behavior analystBehavior analyst97151$35.63per 15 min$142.5216 of 41
ABA assessment support by a technicianBehavior technician97152$21.73per 15 min$86.9210 of 29
ABA parent and caregiver trainingBehavior analyst97156$22.44per 15 min$89.7625 of 43

All South Dakota ABA Medicaid rates, ranked →

Waivers

South Dakota HCBS waivers

Medicaid home and community-based services programs that may pay for this service.

  • SD Assistive Daily Living Services Waiver (1915(c))
  • SD CHOICES Waiver (1915(c))
  • SD Family Support 360 Waiver (1915(c))
  • SD Home and Community-Based Options and Person-Centered Excellence (HOPE) Waiver (1915(c))

South Dakota waivers and waiting lists →

FAQ

Frequently asked questions

Do you need a license to start an ABA practice in South Dakota?

South Dakota requires a Licensed Behavior Analyst from South Dakota Board of Examiners of Psychologists (with the Applied Behavior Analyst Advisory Committee) to operate an ABA practice. Fee: $650.

How much does an ABA practice license cost in South Dakota?

$650 Renewal: Every year · Annual licensing fee $300..

Does South Dakota require a certificate of need for an ABA practice?

No. South Dakota has no certificate of need program.

How do you become a Medicaid provider in South Dakota?

Enroll through South Dakota Medicaid Provider Enrollment (PE) Portal (https://dss.sd.gov/medicaid/providers/enrollment/enrollment.aspx).

What does South Dakota Medicaid pay a ABA practice?

South Dakota Medicaid pays $21.73 per 15 min for one-on-one aba therapy by a technician, effective Jul 1, 2026, ranking 6 of 42 states.