Low-income residents of South Dakota can receive healthcare coverage through Medicaid.
For residents who are interested in a treatment program for drug or alcohol addiction, it may be most cost-effective to seek treatment at rehab facilities that accept Medicaid.
South Dakota Medicaid is a medical assistance program that provides benefits such as insurance coverage for hospital stays, doctor visits, and prescription drugs.
Under Medicaid, people with low incomes can get access to evidence-based mental health and behavioral health services at low cost or no cost.
Addiction treatment services include inpatient and outpatient rehab, day treatment, and behavioral therapy.
South Dakota Medicaid-Covered Substance Abuse Treatment Services
Residents of the state of South Dakota can receive coverage for everything from counseling services to inpatient rehab programs.
Here are many of the treatment options provided with Medicaid:
- substance use disorder assessment
- detoxification
- short-term residential treatment
- long-term residential treatment
- partial hospitalization programs (PHP)
- adult day treatment
- inpatient treatment
- outpatient programs (OP)
- intensive outpatient program (IOP)
- dual diagnosis treatment
- medication-assisted treatment (MAT)
- medication management
- aftercare services
- counseling and/or psychotherapy services
- individual, family, and group therapy
- peer support
Top 4 Drug Rehab Centers In South Dakota That Accept Medicaid
Many addiction treatment centers offer Medicaid insurance coverage. We selected four treatment centers in South Dakota that accept Medicaid based on indicators of excellence.
Indicators of excellence in regard to the following addiction treatment providers include:
- accreditation
- certification
- positive Google reviews
- client testimonials
1. Brookings Behavioral Health And Wellness, Brookings, South Dakota
Brookings Behavioral Health and Wellness is a privately owned, non-profit addiction treatment facility located at The Ivy Center.
The facility provides treatment for alcohol and drug abuse, as well as mental health issues. Clients can receive treatment at this recovery center regardless of their ability to pay.
Trusted features:
- United Way partnership
- evidence-based treatment
- nonprofit status
Levels of care:
- outpatient treatment
- medication-assisted treatment (MAT)
- aftercare
Treatment services:
- individual therapy
- family therapy
- group therapy
- children, youth, and family services
- substance use evaluations
- eye movement desensitization and reprocessing (EMDR)
- medication management
- crisis intervention
- treatment referrals
- case management
- relapse prevention
Payment options:
- Medicaid
- Medicare
- a range of private health insurance plans
- self-payment options, i.e. check, cash, or card
- sliding fee scale
- payment plans
Location and contact information:
211 4th St.
Brookings, SD 57006
(605) 697-2850
2. Keystone Treatment Center, Canton, South Dakota
Keystone Treatment Center provides a full continuum of services to support recovery from drug and alcohol use, as well as co-occuring mental health conditions and compulsive gambling.
This drug and alcohol rehab center uses the 12 steps as a foundation coupled with an evidence-based therapeutic approach.
Trusted features:
- accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF)
- evidence-based treatment
Levels of care:
- detox
- inpatient treatment
- intensive outpatient program (IOP)
- outpatient treatment
Treatment services:
- faith-based services
- individual therapy
- group therapy
- family support groups
- assessment services
Payment options:
- Medicaid
- Medicare
- TRICARE military insurance
- a range of private health insurance plans
- self-payment options, i.e. check, cash, or card
Location and contact information:
1010 E. 2nd St.
Canton, SD 57013
(855) 625-8805
3. Volunteers Of America, Sioux Falls, South Dakota
Volunteers of America is a non-profit organization that serves vulnerable groups, including people recovering from substance use disorders and/or dealing with homelessness, developmental disabilities, or behavioral health issues.
The organization was founded more than 100 years ago as a ministry service.
The treatment provider runs a rehabilitation program for pregnant women and parenting women, as well as an intensive outpatient program for adolescents ages 12 to 18.
Trusted features:
- United Way partnership
- evidence-based treatment
Levels of care:
- residential treatment
- intensive outpatient program (IOP)
- aftercare
Treatment services:
- telehealth
- individual therapy
- family therapy
- group therapy
- substance use evaluations
- moral reconation therapy (MRT)
- crisis intervention
Payment options:
- Medicaid
- Medicare
- TRICARE military insurance
- a range of private health insurance plans
- self-payment options, i.e. check, cash, or card
Location and contact information:
P.O. Box 89306
Sioux Falls, SD 57109
(605) 334-1414
4. Lifeways, Inc., Rapid City, South Dakota
Lifeways is a non-profit substance abuse treatment center that provides inpatient recovery services for adolescents.
The facility is also involved in outreach efforts with local schools aimed at substance abuse education and prevention.
The facility does not turn down clients based on their inability to pay. It maintains a partnership with another facility, Wellfully, which runs an intensive outpatient program and residential treatment services.
Trusted features:
- state licensure
- nonprofit status
Levels of care:
- outpatient treatment
Treatment services:
- substance abuse screenings
- addiction education
- motivational interviewing (MI)
Payment options:
- Medicaid
- sliding fee scale
- self-payment options, i.e. check, cash, or card
Location and contact information:
1019 9th St.
Ste. #2
Rapid City, SD 57701
(605) 716-6555
Find additional treatment options in South Dakota
Cost-Sharing Programs For South Dakota Medicaid
South Dakota Medicaid entails a few cost-sharing programs, including copayments. However, there are no copays required for substance use disorder treatment.
Any service you receive through Medicaid for addiction treatment will be fully covered.
Copays may be necessary for some Medicaid recipients in regard to independent mental health practitioners, inpatient hospital visits, mental health clinics, and more.
The following groups are exempt from paying copays:
- people under age 21
- people receiving hospice care
- people in a long-term care facility
- people 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 plans are available to certain groups with low incomes.
Groups who may be eligible for Medicaid health services include:
- pregnant women
- families
- people who are disabled
- people in a breast or cervical cancer program
- children in foster care, or youth formerly in foster care
- people in nursing or assisted living facilities
South Dakota Medicaid Income Eligibility Requirements
If you are in one of the above-mentioned 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. Income level must be at or under 138% of the FPL.
Recent monthly income limits for low-income families in South Dakota for Medicaid eligibility include:
- one-person household: $1,677
- two-person household: $2,286
- three-person household: $2,859
- four-person household: $3,450
- five-person household: $4,042
- six-person household: $4,633
- seven-person household: $5,224
- eight-person household: $5,815
How To Use South Dakota Medicaid For Drug Rehab
To use South Dakota Medicaid to cover the costs of attending 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 your eligibility 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 by 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 is 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 you are trying to find one that accepts Medicaid as a form of payment.
To help with your search, we answered a few commonly asked questions about South Dakota Medicaid rehab coverage.
Do All Rehab Centers In South Dakota Take Medicaid?
No, not all rehab centers in the state accept Medicaid. It is more likely, however, for state-funded treatment facilities to accept Medicaid than private facilities.
How Many Days Of Rehab Does South Dakota Medicaid Cover?
South Dakota Medicaid covers up to 30 days of treatment at a drug rehab center.
What If I Need To Stay In Rehab Longer Than South Dakota Medicaid Covers?
South Dakota Medicaid will not cover treatments beyond 30 days. However, you can still finance the rest of your treatment program with several practical options.
Payment assistance 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 rehab centers that accept Medicaid also offer sliding scales)
Call the rehab center’s helpline to ask about all payment options.
Find Drug And Alcohol Addiction Treatment Today
If you or a loved one are ready to take the next step toward addiction recovery, call Detox Rehabs today to get help finding the right treatment provider.
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