South Dakota Medicaid
South Dakota Medicaid
Apply or call
South Dakota Medicaid covers pregnant women up to 138% of the federal poverty line — roughly $35,630 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2023. Apply at https://apply.sd.gov/ or call 1-800-597-1603.
On maternal health specifically: South Dakota Medicaid has extended postpartum Medicaid coverage to 12 months (effective 2022-07-01), and does not cover doula services through Medicaid.
South Dakota voters adopted expansion through Constitutional Amendment D in November 2022 with 56% of the vote. Coverage began July 2023. Dakota Rural Action and Great Plains Tribal Leaders' Health Board ran the ballot campaign's rural and tribal outreach.
Key facts at a glance
- Pregnant women eligible up to 138% FPL ($35,630 for a family of three in 2025).
- Children 0-5 eligible up to 182% FPL ($46,990 for a family of three).
- Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
- Postpartum Medicaid extended to 12 months (effective 2022-07-01).
South Dakota Medicaid, topic by topic
Eligibility
Income limits & who qualifies
South Dakota Medicaid covers pregnant women up to 138% of the federal poverty line — $35,630 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://apply.sd.gov/ or by phone at 1-800-597-1603. Federal law requires a 45-day decision on non-disability applications …
Doula coverage
Doula coverage details
South Dakota Medicaid does not currently cover doula services through Medicaid; state advocacy for a State Plan Amendment is ongoing.
Postpartum extension
12-month postpartum status
South Dakota Medicaid extended postpartum Medicaid coverage to 12 months, effective 2022-07-01.
Pregnant women
Pregnancy coverage in full
South Dakota Medicaid covers pregnancy-related care up to 138% of the federal poverty line — about $35,630 annual income for a family of th…
Renewal
Annual renewal & unwinding
South Dakota Medicaid redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69% …
For Black families
Roughly 4,200 Black residents are enrolled in South Dakota Medicaid, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.
South Dakota voters adopted expansion through Constitutional Amendment D in November 2022 with 56% of the vote. Coverage began July 2023. Dakota Rural Action and Great Plains Tribal Leaders' Health Board ran the ballot campaign's rural and tribal outreach.
For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/sd/.
More on South Dakota from Black Health
FQHCs
Federally Qualified Health Centers in South Dakota
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in South Dakota
Filter our directory to South Dakota by specialty.
Health data
Black Health outcomes in South Dakota
Maternal mortality, life expectancy, uninsured rate by race.
Data sources
- South Dakota Medicaid — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed: