To Provide Additional Long-Term Care Nursing Facility Capacity in SD

The South Dakota Department of Health is seeking proposals from qualified long‑term‑care providers to add up to 991 nursing‑facility beds statewide and, optionally, to expand home‑ and community‑based services. The solicitation is open‑ended, closing on June 30 2026 or earlier if all beds are allocated, and proposals are evaluated on a rolling basis. Successful contractors must have Medicare/Medicaid certification, be able to make the added beds operational within two years, and demonstrate capacity to meet special‑care needs such as bariatric, behavioral health, tracheostomy, extended‑stay, or care for high‑risk residents. Providers are also encouraged to outline plans for future HCBS development. • 991 additional nursing‑facility beds available for reallocation across South Dakota. • Required to be Medicare/Medicaid‑certified facilities, with a two‑year timeline to make beds operational. • Evaluation focuses on meeting special‑care needs, HCBS commitment, technical approach, staffing plan, quality‑assurance processes, and financial stability. • No fixed budget is disclosed; cost proposals are submitted separately and negotiated after technical evaluation. • Submissions must be electronic (plus required paper copies) by the June 30, 2026 deadline, with early award possible as proposals are received.