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Learn How to Apply for Medicaid in South Dakota

UPDATE: Medicaid care in 2020 will take into account the same requirements and application steps as it did in recent years.

South Dakota’s Medicaid program has expanded substantially in recent years and is helping more people than ever before finding the health insurance benefits they need, regardless of their finances. Curious where to apply for Medicaid in SD? There are several methods and locations available to do so. To learn more about the application process for Medicaid, download our comprehensive guide.

Since the online marketplace opened, allowing more people to access healthcare options, nearly 100,000 residents of South Dakota have qualified and enrolled in Medicaid. South Dakota’s Medicaid options operate under the Medicaid and CHIP names. Children, certain newborns, low-income families, and individuals with disabilities are all eligible for the program.

In the following sections, you will find more information regarding where do you sign up for Medicaid and how to apply for the program:

How to Apply for Medicaid Online in South Dakota

Have you ever asked “Where do you sign up for Medicaid?” The quickest and easiest way to apply for Medicaid in South Dakota is through the online health exchange. Start by logging into the South Dakota Medicaid website.

Once you are there, you will need to create a username and password to access data for your region. Next, you will be asked a series of questions about your current health insurance status, your residency, and your current income.

You will need to provide your social security number, and proof of South Dakota residency to be eligible to continue with your application. If you have a job, you will need to provide income verification.

If you already have health insurance, you will have to answer questions about your coverage. You may still be able to qualify for Medicaid depending on your circumstances. If you are applying for Medicaid on the basis of disability, you will be asked to verify your disability information. Additional documentation from a doctor may be needed.

Finally, you will be asked to verify all the information you have entered and to “sign” your application electronically.

South Dakota uses electronic verification databases to ensure the information you submitted is correct. If there are discrepancies on your form, you will be notified and asked to further verify your information. Whether you qualify for Medicaid or not, you will receive a letter or phone call letting you know the status of your case.

How to Apply for Medicaid by Phone in South Dakota

While most people apply for Medicaid online, there is a phone option for those who do not feel comfortable completing their application online. The staff is available Monday through Friday from 9:00 a.m. to 5:00 p.m. to help individuals fill out their applications.

There will be several types of Medicaid insurance to discuss, so before you call, it is important that you have all of your verifying information available. You will need the social security number of all members of your family who will be applying, in addition to a W-2 for income verification, if you work.

In the event you do not have all of the required information on hand, you can still apply. Once you’ve applied on the phone, you may be contacted for further identity verifying information, if you were unable to provide all the information needed at the time.

Once your application is processed, a decision on your Medicaid benefits eligibility will be made within 30 days of the application. If you are approved you will receive your Medicaid card, and accompanying benefits information within 7 business days of approval.

How to Apply for Medicaid by Mail in South Dakota

You can download and print a South Dakota Medicaid application online. You can also choose to have the Department of Social Services mail you a paper application. Try to complete the Medicaid application form to the best of your ability. If you are living with family members, or are considered a dependent, you’ll need the identifying information for your family members, as well as income information for the head of household.

To ensure your application does not need further review, make sure you provide all of the information asked of you on the application. Individuals who are currently holding a job will need to provide income information. Those who are considered a dependent of another member of the household will need to provide the head of household’s information and income data.

Once you have completed your application you will need to mail your application to the Department of Human Services. It may take a few weeks to process your Medicaid application form, but you will receive a response within 30 days of your application being processed.

If you are applying for Medicaid on the basis of disability, it can take up to 90 days to get a decision from the Medicaid office. If you have not received a response within a month, you may need to follow up. You can visit your local DSS office, or call the office to check on the status of your application.

How to Apply for Medicaid in Person South Dakota

Medicaid application forms in South Dakota can also be submitted in person; at your local Department of Social Services office. Local office information can be found directly on the state’s DSS website. South Dakota’s DSS is dedicated to building strong families and there are several office locations dedicated to serving the community. Find an office close to your home by using the DSS website.

Before you head down to a local office, please ensure you have all of the necessary identifying information with you. You may print an application beforehand to ensure all of your information is correct, and you have accompanying documentation.

Discover all of the steps you must take when applying for Medicaid by downloading our detailed guide.