Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in South Dakota?
Last verified October 17, 2026 · All South Dakota resources
In South Dakota, the income limit is $2,982/month and the asset limit is $2,000 single. South Dakota's long-term care Medicaid and HOPE Waiver have an income limit of 300% of the SSI standard benefit, $2,982 a month in 2026, and a resource limit of $2,000. Applicants must be 65 or older, or blind or disabled, and need the level of care a nursing home provides. The state's spousal care handbook says a person in a facility whose income is more than three times the SSI benefit may still qualify if the income is placed in an approved income trust.
| Program | South Dakota Medicaid long-term care: HOPE Waiver (at home or in assisted living / community homes) and nursing home care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (300% of the SSI standard benefit) |
| How income is counted | special income limit (300% SSI) |
| Qualified income (Miller) trust used | Yes |
| Asset limit (single) | $2,000 single |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the South Dakota Medicaid waivers that pay for home care.
How to apply in South Dakota (South Dakota Department of Social Services (DSS), with the Department of Human Services Division of Long Term Services and Supports)
Sources
More for South Dakota
Medicaid eligibility by state: other states
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