STATE PROFILE • Last updated: April 23, 2026
South Dakota Elder Care & Medicaid
South Dakota offers income-cap Medicaid for seniors, with the HOPE Waiver providing crucial home and community-based services, including paid family caregiving, to prevent nursing home placement.
leaderboard
RANKED #9
GRADE A
FEATURED
Medicaid Coverage Guide for South Dakota
Full breakdown of HOPE Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
View Medicaid Guide arrow_forward
Program
HOPE Waiver
Income cap
$2,982/mo
Medically-needy
No
Elder Care Index Report Card
5-pillar composite scoring vs other states
A
Grade
AFFORDABILITY
STRONG
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
MODERATE
MEDICAID SUPPORT
MODERATE
Composite score: 54.2 / 100
Methodology arrow_forward
South Dakota At a Glance
Nursing Home Facilities
97
Senior Medicaid Waivers
1
National Rank
#9 / 51
Senior Care Costs in South Dakota
holiday_village
Assisted Living
$3,350/mo
-27.0% vs national avg
View Assisted Living Guide arrow_forward
local_hospital
Nursing Home
$9,086/mo
-17.7% vs national avg
View Nursing Home Guide arrow_forward
psychology
Memory Care
$4,188/mo
-27.0% vs national avg
View Memory Care Guide arrow_forward
home_health
Home Health Aide
$25/hr
-7.4% vs national avg
View Home Health Aide Guide arrow_forward