PIERRE, S.D. (MITCHELLNOW) The South Dakota State Legislature made some changes to the reimbursement rates for some Medicaid providers and instituted a 4% inflationary increase that will go into effect on July 1st. To be eligible for Medicaid in South Dakota one must be an individual who makes 20,800 or less or for a family of four the eligibility level is an income of $41,400 or less. The bulk of Medicaid expenses in South Dakota are spent on those in long term care facilities or nursing homes.
Medicaid providers will get nearly $6 million more in funding on July 1st through September 30th, roughly $2.5 million from state funds and $3.5 million in federal funds. The state budget year runs from July 1 through June 30 while the federal budget year runs October 1 through September 30.
In 2025, Medicaid will receive an additional $23.5 million. That breaks down to nearly $10 million from the State of South Dakota and the other roughly $13.5 million from the federal government. As of June 1, 2024, 109,356 South Dakotans had applied for Medicaid that was a bit less than the 115,00 or so the South Dakota Department of Social Services had estimated were eligible for the program.