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HCBS waivers · South Dakota

South Dakota Medicaid waivers

South Dakota runs 4 Medicaid home and community-based services (HCBS) waiver programs in our records.

Verified Oct 6, 2026Sources: official state and federal agencies

Waiver programs
4
With a waiting list
0
On this page
Programs

South Dakota waiver programs

South Dakota runs 4 Medicaid home and community-based services (HCBS) waiver programs in our records.

WaiverAuthorityWho it servesWaiting listApproved through
SD Assistive Daily Living Services WaiverSD.0264Services: Personal attendant care, Respite, Consumer preparation services, Environmental accessibility adaptations, In-home nursing, Personal emergency response system, Specialized medical equipment and supplies, Vehicle modification1915(c)Adults 65+, People with physical disabilities, ages 18–64, Must meet nursing facility level of care—May 31, 2027
SD CHOICES WaiverSD.0044Services: Assistive technology, Career exploration, Case management, Day services, Group supported employment, Individual supported employment, Residential habilitation, Shared living residential habilitation…1915(c)People with intellectual disabilities or developmental disabilities, all ages, Must meet ICF/IID level of care—May 31, 2028
SD Family Support 360 WaiverSD.0338Services: Personal care 1, Respite, Support coordination, Supported employment, Personal care 2, Companion care, Environmental accessibility adaptations, Nutritional supplements…1915(c)People with intellectual disabilities or developmental disabilities, all ages, Must meet ICF/IID level of care—May 31, 2027
SD Home and Community-Based Options and Person-Centered Excellence (HOPE) WaiverSD.0189Services: Adult day services, In-home respite care, Homemaker, In-home nursing services, Personal care, Specialized medical equipment, Specialized medical supplies, Adult companion services…1915(c)Adults 65+, People with physical or other disabilities, ages 18–64, Must meet nursing facility level of care—Sep 30, 2026

Waiting-list counts are the state's own published figures, as of the date shown; states count differently, so compare with care.

FAQ

Frequently asked questions

What Medicaid waivers does South Dakota have?

South Dakota runs 4 Medicaid home and community-based services (HCBS) waiver programs in our records. They are: SD Assistive Daily Living Services Waiver; SD CHOICES Waiver; SD Family Support 360 Waiver; SD Home and Community-Based Options and Person-Centered Excellence (HOPE) Waiver.