What Programs Are Available To Assist People With Disabilities in South Dakota?

Is there a Medicaid waiver program in South Dakota? South Dakota has several waivers including:

  • Family Support 360;
  • Assistive Daily Living Services;
  • Elderly

What state department handles the Medicaid waiver program in South Dakota? The CHOICES and Family Support waivers are both operated by the Department of Human Services (DHS), Division of Developmental Disabilities (DDD); the Assistive Daily Living Services (ADLS) waiver by the DHS, Division of Rehabilitation Services; and the Elderly waiver by the Department of Social Services (DSS), Division of Adult Services and Aging. Each waiver is administered by the DSS, Division of Medical Services, which is the Single State Medicaid Agency.

What programs assist people who have developmental disabilities? The CHOICES Medicaid waiver program assists persons with intellectual/developmental disabilities in South Dakota. The Family Support 360 Medicaid waiver program also supports persons with intellectual and developmental disabilities.

What is the best number to call to get started? For services available for adults, call 605-773-3438. For services available for children, contact John New at john.new@state.sd.us .

Is there a website? http://dhs.sd.gov/

Who Qualifies For Assistance?

What is considered a developmental disability in Kansas? A developmental disability is defined in state statute (SDCL 27B-1-18), as any severe, chronic disability of a person that:
1.Is attributable to a mental or physical impairment or combination of mental and physical impairments;
2.Is manifested before the person attains age twenty-two;
3.Is likely to continue indefinitely;
4.Results in substantial functional limitations in three or more of the following areas of major life activity: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, and economic self-sufficiency; and
5.Reflects the person's need for an array of generic services, met through a system of individualized planning and supports over an extended time, including those of a life-long duration.

Are there income limits to receive waiver services in South Dakota? You may qualify for Medicaid waiver services if you earn 300% of the SSI Federal Benefit Rate (FBR) or below.

How old do you have to be to start receiving waiver services? There is no age requirement to recieve services under the CHOICES waiver or the Family Support 360 waivers. The ADLS waiver requires a person to be 18 years of age or older. The Elderly waiver requires a person to be age 65 and older or age 18 and older with a qualifying disability.

Is There a Waiting List For Services?

How long is the waiting list? There is currently not a waiting list for South Dakota waivers. South Dakota does not limit the number of participants that it serves at any point in time during a waiver year.

How many people are on the waiting list in South Dakota? N/A

How many people are currently receiving services? The CHOICES waiver program funds services for approximately 2,962 participants. Family Support 360 waiver services 930 participants. The Elderly waiver serves 1,397 people.

What assistance is available while you wait? N/A

Is there priority preference for people who are in crisis? If a waiting list develops, DDD will assign a level of priority for entrants to the waiver. The first level is "priority status" which is defined as individuals who are at significant risk of institutionalization. All other individuals are placed in the second level, which is "applicant status.” Significant risk means: Individuals at imminent risk of being institutionalized; Individuals who are institutionalized; Individuals currently residing in an abusive, neglectful or exploitive situation; and Individuals whose health, welfare or safety is in jeopardy. Individuals in "priority status" will be placed at the top of the waiting list and receive services on a first come first serve basis. Individuals in “applicant status” will receive services on a first come first serve basis but after those in priority status.

What Services Are Offered & What Are The Service Limitations?

What services does the South Dakota Medicaid waiver program offer?
The CHOICES waiver provides the following services: Service coordination; Residential supports; Day habilitation; Pre-vocational; Supported employment; Nursing; Specialized Medical Services; Equipment; and Drugs. The CHOICES waiver does not provide funding for room and board.
The Family Support services waiver offers the following services: Service coordination; Respite care;Companion care; Environmental accessibility; Vehicle modification; Specialized Medical Adaptive Equipment and Supplies; and Nutritional supplements. The Family Support does not provide funding for room and board or residential services.
The ADLS waiver provides the following services: Personal attendant services; Case management; Consumer preparation services; Skilled nursing services; Emergency response services; and incontinent supplies.
The Elderly waiver provides the following services: Assisted living; Environmental accessibility adaptations; In-home nursing; Meals/Nutritional supplements; Personal emergency response systems; Adult day; Homemaker; Personal care; Respite care; Specialized medical equipment and supplies; and Adult companion.

Does South Dakota offer community group homes? Yes, Community Support Providers provide residential options for people, such as group homes and supervised apartments.

Does South Dakota offer supported living? Yes, Community living training and residential expanded follow-along are also provided for those who are living on their own or are working toward that goal.

Are there still state owned institutions? How many people are living in institutions? South Dakota has one large state facility, The South Dakota Developmental Center (SDDC), which serves approximately 130 persons with Intellectual/Developmental Disabilities. Their disabilities range from very mild intellectual/developmental disabilities to severely profound.

How Do You Select A Provider?

Do providers work for the state? No, Community Support providers are Independent Contractors.

About how many providers are there in the South Dakota? The CHOICES waiver program has 19 certified Community Support Providers across South Dakota.

Do you have a choice in providers? Yes, South Dakota has about 19 Community Support providers. All waiver participants choose their service providers through the Freedom of Choice process.

How Do You Become A Provider?

Apply online at South Dakota Provider Enrollment Call (605) 773-3165 for more information.

Additional Information

The CHOICES waiver began in 1981 introducing community support services as an alternative to institutional services. The waiver allows people to choose community based services. CHOICES services supports a person’s independence and community involvement. When determined eligible, a participant may choose to receive their services from an ICF-MR or an HCBS setting.

According to a recent survey which interviewed participants of the CHOICE waiver, one of the biggest challenge encountered when supporting a CHOICES waiver participant is the co‐pay that some people have to pay for services due to their earned income.

SD Providers

South Dakota Providers


ADVANCE (605) 696-5276
Serving South Dakota- ADVANCE is one of 19 Adjustment Training Centers (ATC's) is the state of South Dakota. We have seven group homes & two apartment complexes.

DakotAbilities 605-334-4220
Serving South Dakota -provides a number of varied services for approximately 130 people with varying levels of abilities and disabilities. We provide 19 residential settings and a variety of work and non-work daytime settings.