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

The State of South Dakota, through its Department of Health, is seeking proposals from qualified long‑term‑care providers to reallocate up to 991 nursing‑facility beds across the state. The purpose is to increase capacity for older adults and persons with disabilities, with a focus on special‑care populations and the development of home‑ and community‑based services. Proposals are accepted on a rolling basis until the deadline of June 30 2027 or until all beds are allocated, with evaluation based on technical capability, timeline, and alignment with state priorities. • Provide additional nursing‑facility beds (up to 991) in existing or new facilities, Medicare/Medicaid certified, operational within two years of contract start. • Demonstrate ability to serve special‑care populations (bariatric, behavioral health, high‑risk, tracheostomy, extended‑stay) and commitment to expand home‑ and community‑based services. • Submit a detailed technical proposal (expertise, resources, staffing, quality‑assurance plan, compliance with Medicaid occupancy requirements) plus a cost proposal; awards will be negotiated based on overall merit.