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Medicaid eligibility pre-check

Enter your state, household size, and annual income. The tool shows which Medicaid category you likely qualify for, using the 2025 Federal Poverty Guidelines and your state’s current income caps, then links you directly to apply.

Your household

Everyone who files taxes together counts as one household.

$

Before taxes. Include wages, tips, self-employment, and most Social Security. Don’t include SSI or child support.

Applicant age
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Results for South Dakota

0% of the federal poverty level

For a household of 3 in South Dakota, 100% of FPL equals $25,820/year. Enter your annual income to see where you fall against each category’s cap.

  • Adult (Medicaid expansion)

    Likely eligible

    Income cap: $35,632/year (138% FPL for a household of 3).

    Expansion adults qualify up to 138% of FPL ($35,632/year for a household of 3).

  • Pregnant women

    Not applicable

    Income cap: $35,632/year (138% FPL for a household of 3).

    Category only applies when the applicant is pregnant.

  • Children 0–5

    Not applicable

    Income cap: $46,992/year (182% FPL for a household of 3).

    Category applies only to children under 6.

  • Children 6–18

    Not applicable

    Income cap: $46,992/year (182% FPL for a household of 3).

    Category applies only to children 6–18.

  • Parent / caretaker relative

    Likely eligible

    Income cap: $11,877/year (46% FPL for a household of 3).

    Parent-only category covers up to 46% of FPL in South Dakota. In South Dakota the expansion adult category (138% FPL) is usually the easier path for parents who meet the income test.

  • Aged (65+) / Disabled

    Not applicable

    Income cap: $19,107/year (74% FPL for a household of 3).

    Category applies only to adults 65+ or adults with a qualifying disability.

How to apply in South Dakota

Program

South Dakota Medicaid

Processing time

up to 45 days for MAGI-based categories, up to 90 days for disability-based determinations

Apply at South Dakota portal Agency home

Community navigator help is available in South Dakota through Great Plains Tribal Leaders Health Board. Navigators help with paperwork, appeals, and finding Black-serving providers once enrolled.

Next steps in South Dakota

This is an informational estimate. Final eligibility is determined by South Dakota Medicaid based on your full application, including verification of income, assets (for some categories), immigration status, and household composition. The tool uses 2025 HHS Poverty Guidelines and South Dakota’s published % FPL caps as of the last KFF State Health Facts update.