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.

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.

Recipients
Individuals who apply and are determined eligible for South Dakota Medicaid are referred to as recipients. Recipients should visit the recipient page for important information about their coverage.

Providers
Healthcare professionals and facilities enrolled to provide services or interested in becoming enrolled should refer to the provider page for billing and policy guidance.

Report Fraud
Provider fraud, waste and abuse can reported by emailing ProgramIntegrity@state.sd.us.