Medicaid in
South Dakota
Free or low-cost comprehensive health coverage for low-income adults and families.
Eligibility Requirements
Here's what you need to qualify for Medicaid in South Dakota.
Income Limit
At or below 138% FPL
Citizenship
U.S. citizen, permanent resident, or qualified non-citizen
Non-expansion states limit adults to ~100% FPL.
2026 Income Limits
Medicaid income limits for South Dakota based on 138% FPL.
Medicaid income limit in South Dakota: 138% of the Federal Poverty Level (FPL). Based on 2026 HHS poverty guidelines.
| Household Size | 2026 FPL | Annual Limit (138%) | Monthly Limit |
|---|---|---|---|
| 1 person | $15,060 | $20,783 | $1,732 |
| 2 people | $20,440 | $28,207 | $2,351 |
| 3 people | $25,820 | $35,632 | $2,969 |
| 4 people | $31,200 | $43,056 | $3,588 |
| 5 people | $36,580 | $50,480 | $4,207 |
| 6 people | $41,960 | $57,905 | $4,825 |
| 7 people | $47,340 | $65,329 | $5,444 |
| 8 people | $52,720 | $72,754 | $6,063 |
Each additional person adds approximately $5,380 to the FPL base ($7,424 at 138%).
Required Documents
Have these ready before you start your Medicaid application.
How to Apply
Follow these steps to apply for Medicaid in South Dakota.
Gather your documents
Collect all required documents listed above before starting.
Submit your application
Apply online through the Centers for Medicare & Medicaid Services or contact your local South Dakota office.
Wait for processing
Processing takes 15–45 days. Keep copies of everything.
Frequently Asked Questions
Who qualifies for Medicaid in South Dakota?
Your household income must be at or below 138% of the Federal Poverty Level. Additional factors include age, citizenship, and household composition.
How do I apply for Medicaid in South Dakota?
Apply through the Centers for Medicare & Medicaid Services. Processing takes 15-45 days.
How much is Medicaid worth in South Dakota?
$3,600 to $8,400 per year. Avg $300–$700/month in health coverage value.
Other Benefits in South Dakota
Monthly food assistance loaded onto an EBT card for groceries.
WIC in South DakotaNutrition, food, and health support for pregnant women, new moms, and children under 5.
Free School Meals in South DakotaFree or reduced-price breakfast and lunch for school-age children.
CHIP in South DakotaLow-cost health coverage for children in families that earn too much for Medicaid.
Medicare Extra Help in South DakotaHelps pay Medicare prescription drug plan costs for people with limited income.
Medicare Savings Programs in South DakotaHelps pay Medicare premiums, deductibles, and copays.