Authorizations
IHSS in California: What Home Care Agencies Need to Know
IHSS is consumer-directed: the recipient hires the provider and the state pays. Agencies mostly serve IHSS clients with private-pay hours, plus contract mode in a few counties.
Can you get paid to care for a family member in South Dakota?
Last verified October 17, 2026 · All South Dakota resources
Yes, through 2 programs we verified. In South Dakota, Structured Family Caregiving under the HOPE waiver pays a small stipend to a family member who provides substantial care to an older adult or an adult with a disability. The family caregiver also gets support and training. To learn more, contact Dakota at Home at 833-663-9673.
| Can a spouse be paid? | Not confirmed |
|---|---|
| Can a parent of a minor child be paid? | Not confirmed |
Which South Dakota programs pay family caregivers?
Structured Family Caregiving (HOPE Waiver)
- Type: Structured family caregiving
- Who can be paid: A family member who serves as the principal caregiver and provides substantial care, receiving a small stipend plus ongoing support and training. Whether a spouse qualifies was not stated.
- Who qualifies for care: People 65 or older, or 18 or older with a disability, who are on the HOPE waiver or qualify for it (nursing facility level of care), and want this living arrangement.
Assistive Daily Living Services (ADLS) Waiver - self-directed personal attendant services
- Type: Medicaid self-direction
- Who can be paid: Personal attendants the participant recruits, hires, trains and supervises. Family hiring rules were not confirmed.
- Who qualifies for care: Adults 18 and older with quadriplegia who need help with daily activities, are medically stable, can self-direct (or have a representative), meet nursing home level of care, and are Medicaid eligible.
Are there national programs too?
Yes. Veterans may qualify for VA programs that pay or support family caregivers: Veteran Directed Care and the Program of Comprehensive Assistance for Family Caregivers.
Sources
More for South Dakota
Paid family caregivers by state: other states
Related guides
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.
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