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Sioux Falls, SD · South Dakota Medicaid / CHOICES Waiver

Medicaid Nursing Home & Assisted Living — Sioux Falls, SD

Medicaid nursing home coverage in Sioux Falls includes room, board, and skilled care when eligible — unlike assisted living. Use our nursing home ratings tool to compare CMS star scores for facilities in Sioux Falls.

Assisted living in Sioux Falls averages ~$3,700/month (near the SD state average of ~$3,700). South Dakota Medicaid / CHOICES Waiver may cover care services for eligible residents, but room and board typically remains private pay. South Dakota CHOICES waiver provides HCBS.

South Dakota helpline: 1-866-854-5465

Key limits (screening estimates)

  • Income: ~$2,829/mo
  • Assets: ~$2,000 individual

South Dakota program notes

  • South Dakota CHOICES waiver provides HCBS.
  • Assisted living centers must be certified.
  • Sioux Falls and Rapid City have most options.

Next steps in Sioux Falls

  1. Contact South Dakota ADRC at 1-866-854-5465.
  2. Apply through South Dakota Medicaid.
  3. Request waiver intake.

AllyKin Affordability Gap Index

Medicaid vs Assisted Living Cost in Sioux Falls

Avg assisted living

$3,700/mo

South Dakota Medicaid / CHOICES Waiver income limit

$2,829/mo

Affordability gap

1.3×

1.3× Medicaid income limit — verify waiver slots

Assisted living in Sioux Falls ($3,700/mo) is roughly 1.3× the South Dakota Medicaid / CHOICES Waiver income limit (~$2,829/mo). Some families may qualify for waiver-covered care services, but room and board in assisted living typically remains private pay.

Annual AL cost equals ~15.7 months of the Medicaid income screening limit. Limits are estimates — verify with South Dakota Medicaid caseworker.

No phone number required. This screening tool is 100% free and private. Results are educational only — not legal or financial advice.

Program: South Dakota Medicaid / CHOICES Waiver

Typical South Dakota screening limits: income ~$2,829/mo · assets ~$2,000 individual

FAQs — Sioux Falls

Does Medicaid pay for nursing homes in Sioux Falls, SD?

Yes — South Dakota Medicaid (South Dakota Medicaid / CHOICES Waiver) covers skilled nursing facility room, board, and care for eligible residents. Income limit ~$2,829/mo, assets ~$2,000, and a 60-month look-back apply statewide. Medicaid nursing home coverage in Sioux Falls includes room, board, and skilled care when eligible — unlike assisted living. Use our nursing home ratings tool to compare CMS star scores for facilities in Sioux Falls.

How do I qualify for Medicaid nursing home care in Sioux Falls?

Meet South Dakota Medicaid / CHOICES Waiver income and asset limits, pass the 60-month look-back review, and receive a level-of-care assessment confirming nursing-facility need. Contact South Dakota ADRC at 1-866-854-5465. Compare CMS star ratings for Sioux Falls nursing homes before choosing a facility.

Does Medicaid pay for assisted living in Sioux Falls, SD?

South Dakota's South Dakota Medicaid / CHOICES Waiver may cover care services for eligible residents in participating communities. Room and board in standard assisted living is usually private pay. At ~$3,700/mo local AL cost, waivers often cover care hours — not housing. Use our free checker below.

What is the Medicaid income limit in Sioux Falls?

Statewide screening limit is approximately $2,829/month for individuals and $2,000 in countable assets. Sioux Falls does not have separate limits — South Dakota Medicaid / CHOICES Waiver rules apply across South Dakota.

What Medicaid waivers help with assisted living in South Dakota?

South Dakota CHOICES waiver provides HCBS. Assisted living centers must be certified. Call 1-866-854-5465 for county-specific guidance.

How many assisted living facilities in Sioux Falls accept Medicaid?

The Sioux Falls area has approximately 20 licensed communities. Not all accept South Dakota Medicaid / CHOICES Waiver waiver residents — always verify participation and waitlist status before touring.

What are the next steps to apply for South Dakota Medicaid / CHOICES Waiver in Sioux Falls?

Contact South Dakota ADRC at 1-866-854-5465. Apply through South Dakota Medicaid. Request waiver intake.

Can I afford assisted living in Sioux Falls while on Medicaid?

Assisted living in Sioux Falls averages ~$3,700/month (near the SD state average of ~$3,700). South Dakota Medicaid / CHOICES Waiver may cover care services for eligible residents, but room and board typically remains private pay. South Dakota CHOICES waiver provides HCBS.

Sources & methodology

Cost estimates, demographics, and safety data are compiled from government sources. Verify current figures with official portals before making care decisions.

Editorial & data notice

Reviewed against South Dakota Medicaid agency published rules. AllyKin is not a government agency — always confirm eligibility with your state Medicaid office. Questions: help@allykin.com. See our transparency report.