South Dakota Medicaid Eligibility Requirements
This page provides general guidelines for the South Dakota Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is South Dakota Department of Social Services. The name of the state program is Medical Assistance. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the South Dakota Medicaid office.
South Dakota Medicaid Overview
South Dakota Medical Assistance/Medicaid is for eligible persons who need help getting care and paying medical bills.
South Dakota Medicaid Eligibility Requirements - Non Income
Enrollees must be U.S. citizens or legal aliens and South Dakota residents. However, refugees are also eligible.
Documents Needed For South Dakota Medicaid Application
- Proof of income
- Proof of prior or current insurance plan
- Proof of expenses
- Proof of identity and citizenship
South Dakota Medicaid Benefits
U.S. citizens or legal aliens: Services include ambulance, chiropractor, clinics, dental, orthodontic services, diabetes education, durable medical equipment (DME), family planning, home health, hospital, hysterectomy, mental health, nursing home, out-of-state coverage, personal care, physician, podiatry, prescriptions, rehabilitative services, sterilization, other transportation services, vision, wheelchair transportation, well-child exams.
Refugees: Services are the same but coverage is limited to 8 months from the date of the refugee's entry to the United States.
South Dakota Medicaid & CHIP Eligibility Levels
Below is the modified adjusted gross income (MAGI) eligibility levels for South Dakota Medicaid and Children's Health Insurance Program (CHIP).
Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
204% | Medicaid: 133% CHIP: N/A |
58% | 0% |
Eligibility Levels - Individual By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
$1,984 | Medicaid: N/A CHIP: N/A |
$564 | $0 |
Eligibility Levels - Family Of Two By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
$2,674 | Medicaid: $1,743 CHIP: N/A |
$760 | $0 |
Eligibility Levels - Family Of Three By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
$3,364 | Medicaid: $2,193 CHIP: N/A |
$957 | $0 |
Eligibility Levels - Family Of Four By Monthly Income
| Medicaid Expansion | Medicaid Children | Separate CHIP | Pregnant Women | Parents | Other Adults | |||
|---|---|---|---|---|---|---|---|---|
| No |
|
$4,055 | Medicaid: $2,643 CHIP: N/A |
$1,153 | $0 |