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Under the new eligibility guidelines, a single adult will qualify for Medicaid in South Dakota with an income of up to about $20,120. (That number increases a little each year, and is based on the 2023 poverty level.)
LIF is funded through the Medicaid program and covered services include: doctor appointments; hospital stays; dental and vision services; prescription drugs; rehab/therapy; chiropractic; and other similar services. Children eligible for Medical Assistance are also entitled to Healthy Kids Klub checkups.
South Dakota Medicaid is a federal and state-funded program providing health coverage for people who meet certain eligibility standards. Medicaid acts as an insurance company for individuals and pays for medically necessary services.
Low income families in South Dakota (with or without private health insurance) may be eligible for South Dakota Medicaid including regular checkups, Well-Child Care exams, dental care, and vision care. To be eligible, the family must consist of a parent or other adult caretaker relative and a dependent child.
In SFY 2022, South Dakota's Medicaid expenditures were $1,337.12 million.
The Department of Social Services (DSS) is the designated State Medicaid Agency for South Dakota. The Division of Medical Services within the Department administers assistance to those who qualify for Medicaid or the Children's Health Insurance Program (CHIP).
Medicaid Expansion Overview South Dakota voters approved Constitutional Amendment D, which provides for Medicaid Expansion in South Dakota. Under Constitutional Amendment D, starting July 1, 2023, adults ages 18 to 64 with incomes up to 138% of the federal poverty level will qualify for Medicaid.
Starting July 1, 2023, South Dakota's Medicaid expansion allows individuals to qualify for Medicaid by raising the income requirement to 138% of the Federal Poverty Level (FPL), up to $41,400 for a family of 4, and adding childless adults.