Medical Eligibility

Families and Children

Transitional Medical Benefits

South Dakota families who are no longer eligible for the Parent and Other Caretaker Relative program because of employment or increased earnings may receive additional medical assistance for up to 12 months.

South Dakota families who are no longer eligible for the Parent and Other Caretaker Relative program because of increased spousal support may receive additional medical assistance for up to 4 months. 

The Transitional Medicaid Benefits (TMB) program also includes the dependent children of the parents or other caretaker relatives who were eligible and enrolled in the Medicaid.

Medical Eligibility

  • The family must have received Medical Assistance for Low-Income Families for at least three of the previous six months before going off the program.
  • A child who is 18 is not eligible for Transitional Medical Benefits unless they are a full-time student in high school and will graduate before they turn 19.

Covered Services

Eligible families are entitled to full Medical Assistance coverage. Covered services include:

  • doctor appointments,
  • hospital stays,
  • dental and vision services,
  • prescription drugs,
  • rehab/therapy,
  • chiropractic services