South Dakota Medicaid

South Dakota Medicaid provides free or low-cost health coverage to eligible low-income residents, including adults, children, pregnant women, seniors, and people with disabilities.

Coverage includes doctor visits, hospital care, prescription drugs, dental and vision services, and mental health care, with postpartum coverage for pregnant women.

South Dakota has permanently extended Medicaid coverage for pregnant women from the previous 60 days to 12 months postpartum.¹

FAQ

Who is eligible for Medicaid in South Dakota?

As South Dakota expanded its Medicaid coverage, nearly all adults ages 19—64 and pregnant women with incomes up to 138% of the federal poverty level may now gain coverage.

SD Medicaid income limits by household size
SD MedicaidHousehold Size	209% Child 0—18	138% Pregnant Women	138% Adults 19—64
1	$2,780	$1,835	$1,835
2	$3,769	$2,489	$2,489
3	$4,758	$3,142	$3,142
4	$5,748	$3,795	$3,795
5	$6,737	$4,448	$4,448
6	$7,726	$5,101	$5,101
7	$8,715	$5,755	$5,755
8	$9,705	$6,408	$6,408

A 5% disregard based on the federal poverty level (FPL) for the household size may be applied and is reflected in the amounts shown above. Source: Kaiser Family Foundation (KFF).

Coverage for children up to age 19 is available through the Children’s Health Insurance Program (CHIP) for families with higher income levels.

How do I apply for Medicaid in SD?

Applications for Medicaid are available online through SD BEES . If you need assistance completing an application, contact your nearest Department of Social Services office.

South Dakota Department of Social Services
Medicaid Recipient Hotline
(800) 597-1603

Sources & notes

Data and figures on this page come from the sources and notes below:

Medicaid.gov. State Plan Amendment (SPA) #: 23-0008 ↩

South Dakota Medicaid

FAQ

Who is eligible for Medicaid in South Dakota?

How do I apply for Medicaid in SD?

Footnotes