South Dakota Home Care Medicaid

Financial rules still apply at home

DSS lists the HOPE long-term-care income limit as $2,982 per month in 2026, or 300% of the SSI standard benefit amount, with a $2,000 resource limit for an individual. The level-of-care decision does not remove the financial eligibility test South Dakota DSS eligibility page.

The DSS spousal guide says an approved income trust may permit eligibility where institutional-care income is above the three-times-SSI cap. Because a waiver applicant’s trust and household facts can be different from a nursing-facility applicant’s, obtain current DSS approval rather than using a generic online trust form DSS spousal-care guide.

South Dakota has four 1915(c) waivers

DSS says South Dakota operates four Medicaid 1915(c) waivers through DSS and DHS. The current coverage page identifies HOPE, CHOICES for children and adults with intellectual/developmental disabilities, Family Support 360, and ADLS for qualifying people with quadriplegia DSS HCBS overview; South Dakota DSS eligibility page.

Structured Family Caregiving is also described by DSS as a shared living arrangement in the participant’s home or a primary caregiver’s home. It is a service model to explore with LTSS, not a substitute for confirming the appropriate waiver and financial category South Dakota DSS eligibility page.

Waitlist status requires a current call

The agency pages and waiver manuals reviewed for this page did not publish a statewide 2026 enrollment-cap or waiting-list number. HOPE is scheduled for renewal effective October 1, 2026 pending CMS review, so availability, provider capacity, and the current renewal terms should be confirmed directly with Dakota at Home or DHS LTSS DSS HCBS overview; South Dakota 2026 HOPE renewal handout.