South Dakota Medicaid: Eligibility & How to Apply
Last updated: June 2026
South Dakota Medicaid provides free or low-cost health coverage to eligible residents through the South Dakota Department of Social Services (DSS). This guide explains who qualifies, what is covered, and how to apply using official South Dakota resources.
What is Medicaid in South Dakota?
Medicaid is a joint federal and state health coverage program administered in South Dakota by the South Dakota Department of Social Services (DSS). It serves children, pregnant women, parents and caretakers, adults, seniors, and people with disabilities who meet income and other requirements.
Who is eligible?
Eligibility is determined by income, household size, and category. Most applicants under 65 are assessed using MAGI (Modified Adjusted Gross Income) compared to the Federal Poverty Level. Children, pregnant women, and certain adults often qualify at higher income levels than other groups. Income limits vary by group and are updated each year, so confirm current limits with the official source below.
What does Medicaid cover?
- Doctor visits and specialist care
- Hospital and emergency services
- Prescription drugs
- Laboratory and X-ray services
- Maternity and newborn care
- Preventive and wellness services
- Behavioral health and substance use treatment
Exact covered benefits vary by plan and eligibility group. Review your plan materials or the official source for details.
How to apply
- Online: Through the South Dakota state benefits portal or HealthCare.gov.
- By phone: Call 1-800-597-1603.
- By mail or in person: At a local South Dakota office.
Have proof of income, identity, residency, and household size ready before you apply.
Not sure which benefits you qualify for?
Benefit Guardian helps you check eligibility for Medicaid, SNAP, and other programs in one place.
Official source
For the most current eligibility rules, income limits, and applications, use the official sources: