Medicaid in South Dakota

South Dakota Medicaid is a health program run by the state and federal government. This is a long-term care coverage program for eligible residents of South Dakota. SD Medicaid started in 1965 under the Title XIX of the Social Security Act. Over the years, Medicaid in South Dakota eligibility has changed to include more people living below or near the federal poverty line (FPL).

The answer to “What is Medicaid SD” is simple: a program that enables low-income individuals to access quality and affordable health care in South Dakota. South Dakota Medicaid eligibility requirements are outlined on our website. The eligibility criteria may change from time to time, as has been the case over the decades. The South Dakota Medicaid eligibility requirements mainly relate to an applicant’s citizenship and income level.

Medicaid in South Dakota has not been expanded like has been proposed by the federal government. In June 2016, South Dakota Medicaid was covering 119,350 people. Expansion of the program can provide coverage to an additional 59,000 people. Deliberations on expansion of the program have been going on over the years.

Medicaid in South Dakota is administered by the Division of Economic Assistance, which is under the Department of Social Services. The Division also runs the Children’s Health Insurance Program (CHIP). Qualifying for South Dakota Medicaid provides one with various benefits. For example, the coverage helps to pay for necessary medical expenses for eligible services. Medicaid SD application is simple and free. Eligible residents can apply for Medicaid in different ways as outlined on our website.

However, South Dakota Medicaid does not cover all health procedures. Moreover, some procedures are offered with restrictions. The restrictions usually relate to the amount of coverage, co-payments and whether approval is required. Eligible SD Medicaid members should find out whether the procedures they want to undertake are covered. The primary health care providers are required to advice Medicaid members of the status of the services they want.

More information about Medicaid in South Dakota is available here on our site. Find out about South Dakota Medicaid eligibility, application, coverage and costs by checking the respective pages on our website.

Qualifications for Medicaid in South Dakota

South Dakota Medicaid benefits eligibility is made available to qualifying applicants who need affordable health insurance coverage. South Dakota’s Department of Social Services is accountable for administering local Medicaid and CHIP programs. To meet Medicaid eligibility requirements, qualifying applicants must be low-income families, children, pregnant women or disabled adults. Candidates who meet Medicaid eligibility requirements will receive financial assistance for medical expenses such as doctor visits, prescription drugs, hospital stays, nursing home care and home health care needs. Other covered services are health services deemed medically necessary... Read More

How to Apply for Medicaid in South Dakota

South Dakota’s Medicaid program has expanded substantially in recent years and is helping more people than ever before find the health insurance benefits they need, regardless of their finances. Medicaid is a joint federal and state program that provides free or low-cost health insurance to families with children, disabled adults, adults with children, children and pregnant women. 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... Read More

Cost and Coverage of Medicaid in South Dakota

South Dakota Medicaid cost estimates are in line with the requirements of the federal government. According to federal guidelines, states have the option to establish cost sharing (out of pocket) spending requirements and charge premiums for Medicaid enrollees. SD Medicaid cost estimates for cost sharing expenses vary from member to member. The costs may include copayments, deductibles, coinsurance and other similar charges... Read More

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