Guide for 2022 Medicaid Eligibility in South Dakota

There are many paths to Medicaid eligibility. Medicaid eligibility can depend on factors such as your household size, household income, household assets, your age, and whether you have a disability. If you're under 65, your eligibility will likely be based on your income only (no asset test).

If you're over 65 or have a disability, you're likely eligible for Medicare. Medicare recipients can be "dually eligible"—eligible for both Medicare and Medicaid—in which case Medicaid will help cover Medicare expenses. These programs typically include an asset test. Additionally, the way income is calculated for these programs is more complicated, meaning that your income could be above the income limits and you'd still be eligible.

This page contains basic summary information for each major Medicaid pathway in South Dakota. For more detailed information, visit a group-specific guide below:

Children's Medicaid Income Limits

Medicaid eligibility for children is based on total household income. The income limit depends on your household size. There is no asset test.

Most states offer additional pathways for Medicaid eligibility to children with disabilities. These programs vary by state, but typically have higher income limits than the standard eligibility criteria. For more information, visit KidsWaivers.org.

Medicaid Income Limits for Adults 19-64

Standard Medicaid Income Limits

If you are a parent to a child under 18 or are pregnant, there are additional pathways to Medicaid eligibility. Expected children can be counted as part of your household size. The pregnancy Medicaid pathways are available until 60 days after the end of the pregnancy.

Medicaid for Parents

Medicaid for Pregnant Women

CHIP for Pregnant Women

Medicaid Income Limits for Seniors and People with Disabilities

Medicare recipients can be "dually eligible"—eligible for both Medicare and Medicaid—in which case Medicaid will help cover Medicare premiums and some other out-of-pocket medical expenses. The eligibility criteria for these specific Medicaid pathways can be complicated, both in terms of how income is counted and what income needs to be under in order to be eligible.

For all pathways below, there are significant deductions to your income that may apply, including ignoring half of your earned (job) income. For a more accurate estimate use our Medicaid eligibility calculator.

For more information, view our Medicaid for Seniors guide.

Aged, Blind, Disabled (ABD) Medicaid Pathway

The Aged, Blind, and Disabled pathway to Medicaid eligibility is the most common pathway to eligibility for those with a disability or over 65 years old.

Working People with Disabilities Medicaid Pathway

The Working People with Disabilities pathway to Medicaid eligibility is for people with disabilities that have at least $1 in earned income.

Medicare Savings Programs

Medicare Savings Programs (MSPs) help low-income Medicare beneficiaries pay their Medicare premiums and in some case other Medicare-related expenses. If an individual is eligible for Medicare Part A, they may qualify for one of the MSPs below.

There are three common levels of MSPs. The Qualified Medicare Beneficiary program covers Part A & B premiums, as well as some other out-of-pocket expenses, while the Specified Low-Income and Qualifying Individuals programs cover Part B premiums only.

Qualified Medicare Beneficiary (QMB)

Specified Low-Income Medicare Beneficiaries (SLMB)

Qualifying Individuals (QI)

Medicaid for Long Term Care

Medicaid for Long Term Care provides support to those with long-lasting health problems or disabilities and includes services such as home health aides, nursing home care, and community based care that are not covered by regular Medicaid.

Most people would benefit from speaking to an expert before applying for Medicaid for long term care. If applying, consider contacting a Medicaid Navigator or a legal aid nonprofit in your state.

This website does not currently have any information about Medicaid for Long Term Care.