South Dakota Medicaid covers most medical services that are necessary to keep you and your family healthy. This includes services such as annual check-ups, pre-natal care, and immunizations. Apply to find out if you are eligible.

Be Healthy!
You play an important role in you and your family’s health. Visit Healthy South Dakota to find tips for making healthy food choices and getting your family moving.

Yearly check-ups, immunizations, and annual flu shots are also important for staying healthy. Visit the Well-Child or Well-Adult page to find out more about preventive services.

COVID-19 & Unwinding the Continuous Coverage Requirement
During the COVID-19 federal public health emergency, federal regulations did not allow Medicaid coverage to close, even for recipients who were not eligible. Effective April 1, 2023, federal regulations again allowed for Medicaid to close. Learn more about Medicaid coverage and benefits during the public health emergency in our COVID-19 Recipient FAQs.

Over the next several months, DSS staff will be redetermining Medicaid eligibility. Visit the Important Changes Coming Soon to Medicaid Eligibility to find resources and information about the end of the continuous coverage requirement.

Recipient Handbooks
Learn about your benefits and the Medicaid program by checking out the Medicaid Recipient Handbook. If you still have questions after reading the handbook, check out the links on the right or call 800.597.1603.

Learn more about Medicaid pregnancy coverage, prenatal care, postnatal services, and other pregnancy resources by reviewing the Pregnancy Handbook

Primary Care Provider Program
You may be required to choose a Primary Care Provider (PCP). A PCP provides most medical services and helps you get services from other specialty providers that you need. Visit the Primary Care Program page to learn more or to choose or change your PCP.

Health Homes Program
The Health Homes program provides you with a medical team focused on you and helps make sure you get the care you need to stay healthy. If you have certain chronic conditions or suffer from severe mental or emotional health issues you may qualify for this program. Visit our Health Homes page to find out more.

Medicaid Recipient Communications
Learn more about your Medicaid coverage and upcoming changes to Medicaid through our listserv. Recent communications are listed below. To ensure you receive future communications, join the Medicaid Recipient listserv.