South Dakota Medicaid is a medical assistance program that provides benefits such as hospital stays, doctor visits, and prescription drugs.
Under Medicaid, low-income individuals can get access to evidence-based mental health and behavioral health services.
Those who qualify may include families, individuals, and other residents of the state based on income and household size.
South Dakota Medicaid Covered Substance Abuse Services
Residents of the state of South Dakota can get coverage for everything from counseling services to inpatient rehab programs.
Here are many of the treatment options provided with Medicaid:
- intervention and assessment
- outpatient program (OP)
- intensive outpatient program (IOP)
- day treatment/partial hospitalization program (PHP)
- individual, group, and family counseling
- inpatient treatment
- detoxification
- medication-assisted treatment (MAT)
- treatment for opioid abuse: naltrexone (Vivitrol), Suboxone, buprenorphine/naloxone tablets, and buprenorphine tablets are covered
Top 5 Rehab Centers In South Dakota That Accept Medicaid
Several addiction treatment programs offer Medicaid coverage, and five have been selected for the list below.
We’ve chosen five South Dakota Medicaid drug rehabs based on:
- accreditation
- use of evidence-based practices
- partnerships and verifications
- Google ratings and client reviews
- other selection criteria
1. Avera Health Addiction Care Center, Sioux Falls, South Dakota
Relapse management, partial hospitalization, opioid abuse programs, and more are available here with Medicaid coverage.
Avera Health also has an addiction recovery program in Aberdeen, South Dakota.
Some of the top qualities of Avera Health are:
- recognition as one of the 15 top health systems in 2021 and 2019 by IBM Watson Health
- recognition on the Forbes list of America’s Best-in-State Employers in 2019
- a 4.7-star Google rating for the Addiction Care Center
Location and contact information:
6140 S. Curae Ln.
Sioux Falls, SD 57108
(605) 504-2222
2. Brookings Behavioral Health and Wellness, Brookings, South Dakota
This is a behavioral health clinic that provides mental illness, substance abuse, and case management services.
Features of this addiction treatment center include:
- positive Google ratings and client reviews
- evidence-based treatments
Treatment services include:
- counseling
- outpatient treatment
- inpatient treatment referrals
Location and contact information:
211 4th St.
Brookings, SD 57006
(605) 697-2850
3. Keystone Treatment Center, Canton, South Dakota
Adults and young adults can get treatment for addictions here.
Marks of quality care include the following:
- accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)
- a 4.3-star Google rating
- partnership with the Jason Foundation
Several programs are covered under Medicaid here, including detox, outpatient services, and family therapy.
Location and contact information:
1010 E. 2nd St.
Canton, SD 57013
(855) 625-8805
4. Volunteers Of America, Sioux Falls, South Dakota
Volunteers of America is a charity that serves vulnerable groups, including those recovering from substance use disorders.
This substance abuse program is supported by:
- Psychology Today verification
- partnership with United Way
Short-term treatment programs include:
- specialty women’s programs
- aftercare/relapse prevention
- behavioral therapy
- intensive outpatient treatment
Location and contact information:
PO Box 89306
Sioux Falls, SD 57109
(605) 334-1414
5. WellFully, Rapid City, South Dakota
This is a youth treatment center offering addiction and behavioral health services covered by Medicaid.
The program offers inpatient and outpatient programs for youth ages 10 to 17.
WellFully is:
- Joint Commission-accredited
- rated 5 stars on Google
Location and contact information:
22 Waterloo St.
Rapid City, SD 57701
(605) 718-4870
Find additional treatment options in South Dakota
Cost Sharing Programs For South Dakota Medicaid
South Dakota Medicaid does employ a few cost-sharing programs, including copayments. However, there are no copays required for substance use disorder treatment.
Any service you get for addiction treatment will be fully covered.
Copays may be necessary for some people for independent mental health practitioners, inpatient hospital visits, mental health clinics, and more.
The following groups are exempt from paying copays:
- children under the age of 21
- individuals receiving hospice care
- individuals in a long-term care facility
- individuals receiving home and community-based services
- American Indians
- individuals who are eligible for Medicaid through the Breast and Cervical Cancer program
Eligibility For South Dakota Medicaid Drug Rehab
Medicaid health insurance coverage is available to certain groups with low incomes.
These include:
- pregnant women
- families
- those who are disabled
- those in a breast or cervical cancer program
- those in foster care, or youth formerly in foster care
- individuals in nursing or assisted living facilities
South Dakota Medicaid Income Eligibility Requirements
If you’re in one of the above groups, you may qualify for Medicaid coverage.
Income is based on the federal poverty level (FPL), a standard used by all Medicaid programs in the U.S.
Here are the monthly income limits for low-income families:
- one-person household: $617
- two-person household: $776
- three-person household: $888
- four-person household: $995
- five-person household: $1,106
- six-person household: $1,218
- seven-person household: $1,327
- eight-person household: $1,435
How To Use South Dakota Medicaid For Drug Rehab
To use South Dakota Medicaid to cover an addiction treatment facility, you will need to follow a few steps.
The steps to getting Medicaid coverage for drug rehab are as follows:
- First, determine whether you’re eligible by reviewing the corresponding income chart for your demographic.
- If eligible, send in your application. You can apply with a physical copy by mail, fax, or delivering it to your local Department of Social Services office. Or, you can apply online by visiting the South Dakota Department of Social Services site.
- Once approved, wait until you receive your member ID card.
- Bring your member ID and any necessary payment methods or identification to the rehab center.
- Work with the treatment specialists on staff to determine a plan that’s covered by Medicaid and meets your treatment goals.
South Dakota Medicaid Insurance Coverage For Drug And Alcohol Rehab FAQs
Locating a rehab center can be tedious, especially when trying to find one that takes Medicaid as a form of payment.
To help with your search, we’ve answered commonly asked questions about South Dakota Medicaid rehab coverage.
Do All Rehabs In South Dakota Take Medicaid?
Not all rehab centers in the state will accept Medicaid.
How Many Days Of Rehab Does South Dakota Medicaid Cover?
Up to 30 days of treatment will be covered at a drug rehab center.
What If I Need To Stay In Rehab Longer Than South Dakota Medicaid Covers?
Medicaid won’t cover treatments that last longer than 30 days. However, you can still finance the rest of your treatment program with several practical options.
Financing options for addiction treatment centers include:
- federal or state grants for substance abuse treatment
- scholarships from the rehab center
- personal loans or self-pay
- sliding fee payment scales (many rehabs that accept Medicaid also offer sliding scales)
Find Drug And Alcohol Addiction Treatment In South Dakota Today
If you or a loved one want to take the next step toward addiction recovery, contact our helpline today.
We will assist you in finding a treatment provider who accepts Medicaid and offers services needed for your recovery plan.
Article Sources- American Society of Addiction Medicine — Medicaid Coverage of Medications for the Treatment of Opioid Use Disorder
https://www.asam.org/docs/default-source/advocacy/state-medicaid-reports/state-medicaid-reports_sd.pdf?sfvrsn=2#:~:text=South%20Dakota%20Medicaid%20does%20not%20cover%20methadone.&text=opioid%20use%20disorder%2C%20patients%20do,proof%20of%2C%20SUD*%20counseling. - South Dakota Department of Social Services — Medical Programs Available in South Dakota
https://dss.sd.gov/medicaid/generalinfo/medicalprograms.aspx#low - South Dakota Department of Social Services — Recipient Handbook
https://dss.sd.gov/formsandpubs/docs/MEDSRVCS/MedicalAssistanceRecipientHdbk.pdf - South Dakota Department of Social Services — SUBSTANCE USE DISORDER AGENCY SERVICES
https://dss.sd.gov/docs/medicaid/providers/billingmanuals/SUD.pdf