Medicaid eligibility in South Dakota
Simple answer
Yes, many low-income adults can qualify.
In South Dakota, many adults qualify around 138% of the poverty line. For one adult, that is about $22,025 a year.
Who is inside Medicaid or CHIP on the rules we can verify? A household of four is measured against $33,000. South Dakota has adopted the ACA Medicaid expansion.
South Dakota has no metro in the top 100 population ranking, so this page stays on statewide rules.
South Dakota has no tax on wages. Combined state and local sales tax is 6.1%. The ACS effective property tax rate is 1.02%.
A household of four with $48,000 of income is about 145 percent of the $33,000 poverty guideline and is a maybe for Medicaid and CHIP. Maybe — a state pathway is unverified or only part of the household fits.
Limits behind the page
| Household | 100% | 138% | 185% |
|---|---|---|---|
| 1 | $15,960 | $22,025 | $29,526 |
| 2 | $21,640 | $29,863 | $40,034 |
| 3 | $27,320 | $37,702 | $50,542 |
| 4 | $33,000 | $45,540 | $61,050 |
An illustrative household
Two adults, ages 34 and 32, filing jointly, plus children ages 8 and 3. Gross income $48,000 a year, about 145 percent of the poverty guideline in South Dakota. They rent. Nobody is marked disabled or pregnant.
Medicaid and CHIP
MaybeMaybe — a state pathway is unverified or only part of the household fits
- This household is at 145 percent of the 2026 poverty guideline for South Dakota ($33,000). 138 percent of that guideline is $45,540.
- Children above 138 percent of poverty may still qualify for CHIP. The CHIP ceiling in South Dakota is not verified in the dataset.
- South Dakota expanded Medicaid, and this income is over the 138 percent adult limit. Marketplace coverage is the next place to look.
Food stamps (SNAP) tools in South Dakota
Other programs in South Dakota
- Food stamps (SNAP)
- WIC
- School meals
- LIHEAP
- Earned Income Tax Credit
- Child Tax Credit
- Marketplace subsidies
- Lifeline
- SSI
- State programs