Initial & Continuing Need for Care Report

Assisted living centers, nursing homes, adult foster care homes or other individuals who know a person living within one of these settings are asked to complete the Initial and Continuing Need for Care Report when the person applies for the state's Medical Assistance Program.

This form is used to gather basic information about the person in need of assistance in order to determine whether the person meets the criteria for the Medical Assistance Program.

  • South Dakota Department of Social Services
    Division of Adult Services and Aging
    700 Governors Drive
    Pierre, SD 57501
  • If you have any questions about this form, contact your local DSS office or call 1-866-854-5465 for more information.