South Dakota Medicaid is a federal and state-funded program providing health coverage for people who meet certain eligibility standards. Medicaid acts as an insurance company for individuals and pays for medically necessary services.

Most of the individuals covered by South Dakota Medicaid are children. Other individuals covered by South Dakota Medicaid include low-income pregnant women, parents, and other caretaker relatives, seniors in nursing homes, and individuals with physical or developmental disabilities. Apply to find out if you are eligible.

Recipients
Individuals who apply and are determined eligible for South Dakota Medicaid are referred to as recipients. Recipients should visit the recipient page for important information about their coverage.

Providers
Healthcare professionals and facilities enrolled to provide services or interested in becoming enrolled should refer to the provider page for billing and policy guidance.

Report Fraud
Provider fraud, waste and abuse can reported by emailing [email protected].