Medicaid Waivers & Residential Care Funding in South Dakota

South Dakota has 4 Medicaid funding programs on Capacity Track, and 2 of them can pay for care in a licensed residential setting. Below is what each program covers, who it serves, and where to find licensed providers — 17 locations statewide.

Waiver services in South Dakota are coordinated by a case manager or support coordinator. Every provider listed here comes from state licensing records — never pay-to-play.

Waiver Programs in South Dakota

• HOPE waiver (Home & Community-Based Options and Person-Centered Excellence)

  Pays Residential

  Serves: 65+ and adults 18+ with qualifying disabilities, NF level of care

  HOPE waiver (Home & Community-Based Options and Person-Centered Excellence) can pay for services in licensed residential settings in South Dakota, so it is a funding path for residential placements.

  Program Details & Providers

• CHOICES waiver

  Pays Residential

  Serves: adults with intellectual/developmental disabilities

  CHOICES waiver can pay for services in licensed residential settings in South Dakota, so it is a funding path for residential placements.

  Program Details & Providers

• Family Support 360 waiver

  In-Home Only

  Serves: people with DD living with family

  Family Support 360 waiver covers in-home and community services only — it does not pay for residential placement in South Dakota.

  Program Details & Providers

• (No Medicaid managed care for LTSS)

  In-Home Only

  Serves: n/a

  (No Medicaid managed care for LTSS) covers in-home and community services only — it does not pay for residential placement in South Dakota.

  Program Details & Providers