South Dakota currently has three Medicaid programs that can serve children, including a TEFRA program and two additional home and community based 1915(c) waivers. The TEFRA program and Family Supports Waiver are based only on the child’s income, waiving parental income for eligibility, but we are unsure how parent income is considered in the CHOICES waiver. See South Dakota’s Medical Eligibility page for information about its various programs.

Advocacy Organizations in South Dakota:

Last updated 10/24/23

Programs in South Dakota

  • Target Population: Children who would otherwise require care in an institution with any type of disability, including medical, developmental, intellectual, or psychiatric conditions.
  • Ages: 0-18
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the program is based on the child’s income only. Parent income is not counted.
  • Waiver Type: TEFRA
  • Spots: unlimited
  • Expiration Date: NA
  • Description: Provides Medicaid coverage only.
  • Online State Information: Disabled Children’s Program
  • How to Apply: Call (605) 773-4678.
  • Waiting List: none
  • Target Population: Children and adults with developmental and intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 2967
  • Expiration Date: 5/31/2027
  • Description from medicaid.gov: Provides personal care 1, respite, support coordination, supported employment, personal care 2, companion care, environmental accessibility adaptations, nutritional supplements, specialized medical adaptive equipment and supplies, specialized therapies, and vehicle modification services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
  • Online State Information: Family Support 360 from DHS
  • Official Federal Information
  • How to Apply: Call 605-773-3438 or 800-265-9684 or apply through Dakota at Home.
  • Waiting List: none
  • Target Population: Children and adults with developmental and intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: unknown
  • Waiver Type: 1915(c)
  • Spots: 2777
  • Expiration Date: 5/31/2028
  • Description from medicaid.gov: Provides assistive technology, career exploration, case management, day services, group supported employment, individual supported employment, residential habilitation, shared living residential habilitation, small group vocational support, and specialized medical equipment and drug services to individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet an ICF/IID level of care.
  • Online State Information: CHOICES
  • Official Federal Information
  • How to Apply: Call 605-773-3438 or 800-265-9684 or apply through Dakota at Home.
  • Waiting List: none

Additional Information

  • Waivers allow parent/guardian caregivers of ADULTS to be paid for some services, such as Personal Care or Habilitation. Parents of minors cannot be paid.