South Dakota Application for Presumptive Eligibility for Medicaid
Description
How to fill out Application For Presumptive Eligibility For Medicaid?
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FAQ
The Medical Assistance for Low-Income Families (LIF) program is designed to help low-income South Dakota families (with or without private health insurance) receive full medical assistance coverage.
DSS began the process of unwinding from the continuous coverage requirement in February 2023 with disenrollment beginning April 2023. DSS has followed CMS' recommendation to review no more than 1/9 of its caseload per month.
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. Apply to find out if you are eligible.
The application process individuals use now is the same for Medicaid Expansion. It's easy to apply online at dss.sd.gov/applyonline. Paper applications can be located online at dss.sd.gov/formsandpubs, picked up at any local DSS office, or sent by mail, fax, or email from any DSS office.
Individuals who are eligible are entitled to full South Dakota Medicaid coverage. A person must be age 18 or older and have quadriplegia. The income limit can be up to $2,742 (2023) a month. The resource limit is $2,000 for an individual.
Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.