South Dakota Medicaid
Medicaid is run by the state. Here is where South Dakota residents apply, and how it fits with other coverage.
Who runs Medicaid in South Dakota
Medicaid in South Dakota is administered through South Dakota Department of Social Services (DSS). Eligibility and applications are handled by the state, not by an insurance agency, and there is no charge to apply.
South Dakota has expanded Medicaid under the Affordable Care Act (effective July 2023), so many adults with lower incomes can qualify. Expanded via 2022 ballot initiative.
If your Medicaid changes or ends
Losing Medicaid can open a special enrollment period to buy marketplace coverage. Act quickly, because the window to enroll after losing coverage is limited. You can call us to talk through the options, or contact the marketplace directly.
Medicaid and Medicare
Some people have both. If you are 65 or older, or disabled, and qualify for Medicaid, your state may help pay Medicare costs. South Dakota SHIINE (Senior Health Information and Insurance Education) can explain this for free.
Talk with a licensed agent about South Dakota coverage
Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.
Call 855-367-1095Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.