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South Dakota State Medicaid Waiver Program Application Guide

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  • South Dakota State Medicaid Waiver Program Application Guide

    Waiver Overview:
    South Dakota has a few different waiver programs but we are going to focus on the one that we view as the best fit for children with developmental disabilities who live at home. You can view a full offering of different programs here.

    Waiver #1: Family Support Services

    Who Can Apply?

    Circumstances/Diagnosis: Children and adults of all ages who are diagnosed with developmental disabilities like autism, cerebral palsy, and Down’s Syndrome. The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income (or they earn less than $2,300 a month).

    What do I get?

    Service Coordination, Respite Care, Specialized Medical and Adaptive Equipment and Supplies, Nutritional Supplements, Personal Care, Companion Care, Environmental Accessibility Adaptations (Home/vehicle modifications), and standard medicaid benefits.

    How do I apply?

    Contact your local office to apply, find out more information, and to determine if this is your best medicaid waiver option.

    What does the Goally Team Think?

    South Dakota has a great setup where eligibility for medicaid is expanded for different vulnerable groups, but better than that they provide individualized medicaid applications that provide additional services right off the bat. It seems as though there might be a short waitlist to get these expanded services but based off of our research on other states this shouldn’t be longer than a few months. Once your child ages out of the based medicaid services and needs employment and independent living supports you can coordinate moving to a new adult waiver program with your case manager.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 4/5
    Access and requirements of qualification: 4/5
    Healthcare coverage: 3/5

    Other online resources for South Dakota:

    A great list of South Dakota Agencies for People with Disabilities
    South Dakota Autism Center is set up to answer questions about the state’s resources
    South Dakota Parent connection has advice, parent training, and information by parents for parents.

    Telephone Resources

    You can call South Dakota’s Behavioral Services at 605.773.3123
    Last edited by Nate; 07-14-2020, 11:58 PM.