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Family Caregiver Pay Map · South Dakota · Verified October 19, 2026

South Dakota: Who Can Be a Paid Family Caregiver Under Medicaid

South Dakota's HOPE Waiver pays a live-in family caregiver a daily stipend through a Structured Family Caregiving provider agency, with the caregiver trained and supported by the provider; the waiver has no self-directed attendant option for adults outside the separate quadriplegia waiver.

Spouse
Not yet verified
Adult child / other relatives
In defined cases
Friends / neighbors
Not yet verified
Parent of a minor child
No

Who can be paid: A family member who lives with the participant, as the principal caregiver under Structured Family Caregiving through a provider agency; the published rule does not state the spouse or non-relative rules.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

HOPE Waiver — agency personal care and Structured Family Caregiving

Administered by South Dakota Department of Social Services, Division of Long Term Services and Supports.

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: Not yet verified
  • Structured Family Caregiving pays a daily stipend to a live-in principal caregiver through a provider agency; no participant direction; renewal effective Oct 2026

Assistive Daily Living Services waiver

Administered by South Dakota Department of Social Services.

  • Who employs the caregiver: Self-directed (participant is the employer)
  • Waitlist: Not yet verified
  • Quadriplegia only; the participant co-employs personal attendants with an enrolled agency

How to apply in South Dakota

We do not yet have partner agencies in South Dakota. Start with the program's administering agency — South Dakota Department of Social Services, Division of Long Term Services and Supports — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in South Dakota

Can a spouse be paid to care for their husband or wife in South Dakota?
This point has not yet been verified against an official source.
Who can be the paid caregiver in South Dakota?
A family member who lives with the participant, as the principal caregiver under Structured Family Caregiving through a provider agency; the published rule does not state the spouse or non-relative rules.
Is there a waitlist for Medicaid home care in South Dakota?
HOPE Waiver — agency personal care and Structured Family Caregiving: not yet verified (Structured Family Caregiving pays a daily stipend to a live-in principal caregiver through a provider agency; no participant direction; renewal effective Oct 2026). Assistive Daily Living Services waiver: not yet verified (Quadriplegia only; the participant co-employs personal attendants with an enrolled agency).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.