South Dakota Medicaid Resources:

• State Medicaid Website: South Dakota
• South Dakota Council on Developmental Disabilities Website
• Chapters of the Arc in South Dakota

South Dakota Medicaid Facts: From Kaiser Family Foundation Medicaid Fact Sheet (2009)

There are 16,600 people with disabilities who are covered by Medicaid in South Dakota. South Dakota spent $14,413 for each Medicaid recipient with a disability in 2007.

14% of all people covered by Medicaid in South Dakota have a disability, which is almost the same as the national percentage of people covered by Medicaid who have a disability (15%).

South Dakota spends 39% of all the money it spends on Medicaid on services for people with disabilities, which is also almost the same as the national percentage of Medicaid spending on these services (42%).

South Dakota Prime:

The Prime program covers adults with disabilities for a wide range of medical needs. Children, people living in nursing or intermediate care facilities, people participating in the HCBS waiver, and people also eligible for Medicare do not qualify.

• Health: durable medical equipment, early and periodic screening, diagnosis, and treatment, hearing, hospitalization, mental health, laboratory, ophthalmology, physician services, residential treatment centers, x-ray
• Home: home health care
• Social Services: case management

Assistive Daily Living Services waiver:

This waiver covers older adults or adults who have a physical disability. The purpose of the waiver is to offer services in the person’s home or community to help them delay or avoid having to move into a nursing home.

Age: adults with or without disabilities 65 and older, adults with physical disabilities ages 18-64

• Health: personal emergency response devices, private duty nursing, and specialized medical supplies
• Home: personal attendant care
• Social Services: case management

South Dakota CHOICES waiver:

This waiver is directed at people with intellectual and developmental disabilities who want to receive care in their homes and in other community settings. It covers people with intellectual and developmental disabilities of all ages.

• Health: day habilitation, medical equipment and prescription drugs, nursing, and medically-related services such as speech, hearing and language therapy
• Home: residential habilitation
• Social Services: service coordination
• Work: prevocational services, supported employment

Family Support 360 waiver:

This waiver also serves people with developmental disabilities who live at home with their families. The goal of this program is to support people with I/DD and their families to help them live as independently as possible. There are no income guidelines for this waiver program, though there are criteria about spending resources. The idea behind this program is to provide whatever services a family needs based on an individual assessment, and so this will include a unique combination of available services based on each family’s situation.

Ages: The statewide program serves people with I/DD until age 22, while local programs serve people from birth until age 18 or from age 18 onward