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 11/17/22

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: 344
  • Expiration Date: 5/31/2022 but renewal does not appear on the federal website
  • Description from medicaid.gov: Provides personal care, respite, support coordination, supported employment, companion care, environmental accessibility adaptations, nutritional supplements, specialized medical adaptive equipment and supplies, vehicle mods for individuals with DD and IID, ages 0 – no max age.
  • Online State Information: Family Support 360 from DHS
  • Official Federal Information
  • How to Apply: Call 605-773-3438 or 800-265-9684.
  • 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: 5/31/2023
  • Description from medicaid.gov: Provides career exploration, case management, day services, residential habilitation, supported employment, medical equipment and drugs, nursing, other medically related services – speech, hearing & language for individuals with DD, ID, ages 0 – no max age.
  • Online State Information: CHOICES or CHOICES brochure
  • Official Federal Information
  • How to Apply: Call 605-773-3438 or 800-265-9684.
  • Waiting List: none

Additional Information

No information for this state at this time

  • Home and Community-Based Options and Person Centered Excellence (HOPE) Waiver
  • Assistive Daily Living Services