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The Medical Assistance for Low-Income Families (LIF) program is designed to help low-income South Dakota families (with or without private health insurance) receive full medical assistance coverage. LIF is funded through the Medicaid program.
| Program Name | South Dakota Medicaid |
| Expanded Medicaid | No |
| Website | https://dss.sd.gov/medicaid/ |
| Phone | 877-999-5612 |
| Apply Online | https://apps.sd.gov/ss36snap/web/Portal/Default.aspx |
| Appeal a Denial | Request a Fair Hearing |
| Find a Local Office | https://dss.sd.gov/findyourlocaloffice/ |
Eligibility Requirements
To be eligible for South Dakota Medicaid, you must be a resident of the state of South Dakota, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:
- Pregnant
- Be responsible for a child 18 years of age or younger
- Have a disability or a family member in your household with a disability
Annual Household Income Limits (before taxes)
| Household Size* | Maximum Income Level (Per Year) |
| 1 | $17,131 |
| 2 | $23,169 |
| 3 | $29,207 |
| 4 | $35,245 |
| 5 | $41,284 |
| 6 | $47,322 |
| 7 | $53,360 |
| 8 | $59,398 |
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
| Chiropractic | Medical equipment and supplies |
| Dental | Mental health |
| Diabetes education | Nursing home |
| Dietician and nutritionist | Personal care |
| Family planning | Podiatry |
| Home health | Prescription drugs |
| Hospice | Substance use disorder |
| Hospital | Transportation coverage |
| Medical and surgical services | Vision |
Copayments
| Ambulatory Surgical Centers | 5% up to $50.00 |
| Chiropractic Services | $1.00 |
| Dental Services | $3.00 |
| Dentures | $3.00 |
| Diabetes Education | $3.00 |
| Dieticians and Nutritionist Services | $3.00 |
| Durable Medical Equipment | 5% of allowable reimbursement |
| Rural Health Clinics | $3.00 |
| Independent Mental Health Practitioners | $3.00 |
| Inpatient Hospital Services | $50.00 |
| Mental Health Clinics | 5% of allowable reimbursement |
| Nutrition Services | $2.00 – $5.00 |
| Optometric Services | $2.00 |
| Optical Supply | $2.00 |
| Outpatient Hospital Services | 5% of allowable reimbursement ($50.00) |
| Physician Services | $3.00 |
| Podiatry Services | $2.00 |
| Prescription Drugs | $1.00 – $3.30 |
Individuals exempt from cost sharing include:
- Children under age 21
- Individuals receiving hospice care
- Individuals residing in a long-term care facility
- Some Native American Indians
- Individuals eligible for Medicaid through the Breast and Cervical Cancer program
Services exempt from cost sharing include:
- True emergency services
- Family planning services and supplies
- Services relating to a pregnancy
- Provider-preventable services
- Laboratory services
- Psychiatric inpatient and rehabilitation services;
- Radiological services
- Substance use disorder treatment
