ADAP in South Dakota — AIDS Drug Assistance Program eligibility and enrollment
The number
South Dakota AIDS Drug Assistance Program supports 180 people living with HIV in South Dakota, with an income cap at 300% of the federal poverty line.
Ryan White Part B
South Dakota Department of Health, Office of Disease Prevention Services
State ADAP
South Dakota AIDS Drug Assistance Program
Income cap 300% FPL
State PrEP-DAP
Not operated; federal Ready Set PrEP applies
South Dakota AIDS Drug Assistance Program eligibility + enrollment
South Dakota AIDS Drug Assistance Program serves 180 people, with an income eligibility cap at 300% of the federal poverty line. In South Dakota that means your gross annual income can be up to $45,753 for a household of one (at 2025 HHS poverty guidelines) and you still qualify. ADAP is the 'payer of last resort' for HIV medications: it covers people with no insurance, fills the gap for people on Medicare Part D, and pays co-pays for people on commercial insurance.
What ADAP covers: all FDA-approved antiretroviral medications on the state formulary (every ADAP covers the WHO-recommended first-line regimens), plus many opportunistic-infection prophylaxis drugs, lab work in states where the ADAP pays for labs directly, and in some states hepatitis B and C treatment. South Dakota AIDS Drug Assistance Program's formulary is published on the state health department website and is updated at least annually.
How to enroll: a case manager at a Ryan White Part B or Part C clinic completes the application with you. You'll need proof of HIV diagnosis (a lab report or physician letter), proof of South Dakota residency, proof of income (pay stubs, tax return, benefit letter), and documentation of insurance status. Decisions typically return within two weeks; medications are dispensed through participating pharmacies at no cost once you're enrolled. Recertification is annual.
The state HIV info line is 1-800-592-1861; the case-management team can match you to the nearest Ryan White clinic for same-week intake. Long-time Black residents name Sanford Health Infectious Disease Clinic (Sioux Falls) and Falls Community Health (Sioux Falls) as the local institutions that show up consistently — both are listed below.
Sanford Health Infectious Disease Clinic (Sioux Falls). Sanford Health's ID Clinic in Sioux Falls is South Dakota's only HIV specialty clinic and Ryan White Part C grantee, covering the entire state through a combination of in-person and telehealth appointments, with a dedicated outreach partnership with the Great Plains Tribal Leaders Health Board.
Falls Community Health (Sioux Falls). Falls Community Health is South Dakota's largest FQHC, operating the only walk-in rapid-HIV-testing program in the state with evening hours, and providing HIV primary care for patients transferring out of the state Department of Corrections system.
For Black families in South Dakota
Of the 530 people living with HIV in South Dakota, a disproportionate share are Black residents — 24% of the new diagnoses each year, same proportion or higher of the cumulative prevalence. ADAP is what keeps many of those residents virally suppressed, because the alternative — paying retail for daily antiretrovirals — would run roughly $30,000-$40,000 a year. If your income has you worried about whether you qualify, call the state HIV line first. Ryan White case managers know the eligibility rules better than most insurance navigators and will pull you through the application rather than bouncing you to paperwork.
Named HIV testing + PrEP sites in South Dakota
Where to get help in South Dakota
- South Dakota HIV info line: 1-800-592-1861 — staff can find the nearest free testing site, schedule PrEP, or help enroll you in ADAP.
- South Dakota Department of Health, Office of Disease Prevention Services landing page: https://doh.sd.gov/diseases-conditions/hiv-aids/.
- Federally Qualified Health Centers in South Dakota: every FQHC offers sliding-scale HIV testing and has certified application counselors on staff. See our FQHC directory for the state at /clinics/sd/.
- State health data for South Dakota: for state-level HIV mortality, maternal health, and life-expectancy context by race, see /health/south-dakota/.
- South Dakota Medicaid: Medicaid is the largest single payer of HIV care in most states. See /medicaid/south-dakota/ for eligibility + enrollment.
- NASTAD ADAP Monitoring Project: nastad.org/adap-monitoring-project — the current national ADAP eligibility + formulary reference.
References & primary sources
- South Dakota Department of Health, Office of Disease Prevention Services: https://doh.sd.gov/diseases-conditions/hiv-aids/.
- CDC HIV Surveillance Report 2022: cdc.gov/hiv/library/reports/hiv-surveillance.html. Source for state-level new diagnoses and race-stratified counts.
- HRSA HIV/AIDS Bureau, Ryan White HIV/AIDS Program grantee list: ryanwhite.hrsa.gov/grants/part-b.
- NASTAD ADAP Monitoring Project 2024 Annual Report: nastad.org/adap-monitoring-project. Source for ADAP income cap + enrollment + PrEP-DAP data.
- AIDSVu state profile: aidsvu.org/state/south-dakota/.
- Kaiser Family Foundation, The Ryan White HIV/AIDS Program fact sheet: kff.org/global-health-policy/fact-sheet/the-ryan-white-hivaids-program.
Data refreshed: