How to Apply for Medicaid in South Dakota

Residents should learn how to apply for Medicaid in South Dakota before beginning an application to ensure optimal results. To complete a South Dakota Medicaid application form, you have several options including online, through the mail, via fax or in-person. All Medicaid application options require you to provide information about your household, income and medical conditions. Your Medicaid application is evaluated by the South Dakota Department of Social Services and Federal Health Insurance Marketplace. These offices use your application for Medicaid to determine whether you are eligible for programs like the Children’s Health Insurance Program (CHIP), Low-Income Families (LIF) and Pregnant Women programs. To learn how and where to apply for Medicaid, review the sections below.

What to Do Before Beginning Your South Dakota Medicaid Application

To ensure a successful Medicaid application, make sure you understand the basics of the South Dakota Medicaid programs. When you apply for Medicaid online or by other methods successfully in this state, you receive health insurance that is paid for by the federal and South Dakota governments. In South Dakota, Medicaid coverage includes doctor visits, hospital stays and other necessary medical services. The Department of Social Services (DSS) primarily administers the South Dakota Medicaid program.

For your application for Medicaid to be approved, you must satisfy South Dakota income and eligibility requirements. Medicaid application guidelines may require you to meet certain income and health condition requirements. In South Dakota, there are different Medicaid programs available for different categories of candidates, such as low-income families, workers with disabilities and individuals with developmental disabilities like Down syndrome or cerebral palsy. Download our comprehensive Medicaid guide for more details about the program and its mandatory benefits.

Where do you sign up for Medicaid in South Dakota?

When it comes to where to apply for Medicaid in South Dakota, you have several options. To apply for Medicaid primary programs like the Children’s Health Insurance Program, Low-Income Family and Pregnant Women programs, you may apply online or by filling out a paper copy. You will need to apply for Medicaid online through the South Dakota Department of Social Services online system. Or, fill out a Medicaid paper application form to mail, fax or deliver to your nearest Department of Social Services office. You can obtain a paper Medicaid application form by downloading and printing a copy from the web or calling your local DSS office to ask for a copy to be mailed to you. You may also contact your local DSS if you have questions about completing your Medicaid application.

What do you need to apply for Medicaid in South Dakota?

Before you begin your Medicaid application, prepare by gathering required needed documents and related Medicaid information. To prepare to apply for Medicaid in South Dakota, collect the following:

  • The Social Security Number (SSN) for each member of your household or document numbers for any immigrant members
  • Work and income information for each member of your household, such as W-2 forms, tax statements or pay stubs
  • Health insurance policy numbers for any members of your household who currently have insurance
  • Information about health care coverage offered to any members of your household if any

Get ready to submit an application for Medicaid in South Dakota by reviewing required information and documents.

Questions to Expect on Your South Dakota Medicaid Application

Whether you apply for Medicaid online or submit a paper form via mail, fax or in person, you will be required to answer the same basic questions. Your Medicaid application will inquire about your household, income and medical conditions to review your eligibility for benefits as well as your expected Medicaid costs and coverage. On your online or paper Medicaid application form, expect questions about the following:

  • The name, birthdate, Social Security Number and health conditions of each member of your household
  • Current job and sources of income for each member of your household
  • Any existing health care coverage for you or any member of your household
  • Information about American Indian or native Alaskan members of your household if any

Learn more about how to apply for Medicaid by downloading our detailed national guide here.

Alternate South Dakota Medicaid Application Forms

You may need to submit an alternate or additional Medicaid application form if you want to apply for a special program within the South Dakota Medicaid system. For example, an alternative Medicaid form is required to apply for the South Dakota Long Term Care (LTC) program, which covers services such as assisted living, adult foster care and nursing home services. An alternate application form for Medicaid is also required for the Disabled Children’s program. An additional Medicaid form may be required for the Primary Care Provider Program, a program aimed at Supplemental Security Income (SSI) recipients, parents, pregnant women and caretakers.

What happens after you complete your South Dakota Medicaid application?

If you want to apply for Medicaid online, then sign and submit the form through the SD DSS portal. If you have completed a paper Medicaid application form, then mail, fax or bring the form to your local Department of Social Services office. After submitting your Medicaid application, a representative from your local South Dakota DSS will contact you if more information or supplemental forms are needed. If your application for Medicaid is complete, then he or she will provide you with Medicaid information and instruct you on what to do next to start receiving health care coverage.

If You Need Assistance Completing Your South Dakota Medicaid Application

For assistance completing your Medicaid application, contact your nearest South Dakota Department of Social Services office. Representatives can help you complete your Medicaid application form and answer any questions you might have. You can also ask general program questions relating to Medicaid or the other Medicaid-related programs like CHIP and LTC.