South Dakota

Get Paid as a Family Caregiver in South Dakota

South Dakota has real Medicaid programs that pay family members to care for a loved one at home. Here's what they pay, who can be paid, and how to start.

What South Dakota pays family caregivers

$392/week

Often tax-freeRates vary — check with the program.

Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.

Source: South Dakota Medicaid program data · Updated September 2026

Waitlist in South Dakota

There may be a waitlist. Applying early holds your place.

capped at ~3,704 beneficiaries/year; a waitlist can form

The two big questions

Can a spouse be paid?

Yes

Yes — South Dakota can pay you to care for your spouse.

The fine print: yes — spouses may serve as the paid SFC caregiver; caregiver and recipient must live in the same home

Can a parent be paid for a child?

Not right now

Not for young children right now — but parents of adult children can often be paid.

The fine print: no — HOPE Waiver serves only adults 65+ or disabled adults 18-64, so a minor child cannot be the care recipient

South Dakota's programs

Run by: South Dakota Dept. of Human Services, Division of Long-Term Services & Supports (financial eligibility via Dept. of Social Services)

Structured Family Caregiving (HOPE Waiver)

A program that can pay a family member for care at home.

2-min check →

How to apply in South Dakota

  1. Check your match — 2 minutes, free.

    Our quick check tells you which programs fit your family before you talk to anyone.

  2. Start the state application.

    Call Dakota at Home at 833-663-9673 or your local DSS office; financial eligibility goes through DSS and the LTSS functional assessment through DHS at the same time.

  3. We help at every step.

    Forms, phone calls, the enrollment visit — we walk you through it all, free.

See if you qualify →

South Dakota questions, answered honestly

Is this legit?

Yes. These are real Medicaid programs run by the state. In South Dakota, they are overseen by the South Dakota Dept. of Human Services. We help you enroll — applying costs you nothing.

Why would the government pay me?

Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.

Can I get paid to care for my spouse in South Dakota?

Yes — South Dakota can pay you to care for your spouse. The fine print: yes — spouses may serve as the paid SFC caregiver; caregiver and recipient must live in the same home

Can I get paid to care for my child in South Dakota?

Not for young children right now — but parents of adult children can often be paid. The fine print: no — HOPE Waiver serves only adults 65+ or disabled adults 18-64, so a minor child cannot be the care recipient

How much do family caregivers get paid in South Dakota?

Reported figures are around $392/week, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Is there a waitlist?

There may be a waitlist. Applying early holds your place. Details: capped at ~3,704 beneficiaries/year; a waitlist can form

Do I have to work for an agency?

It depends on the program. In South Dakota: yes — SFC is delivered through an approved SFC provider agency (e.g. Careforth) that pays the caregiver, though the caregiver is not an agency employee; live-in required

Sources: medicaidplanningassistance.org · medicaidplanningassistance.org · dhs.sd.gov · Updated September 2026. Program rules change — always confirm with the program.

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Answer 5 easy questions. See your programs and pay before you share any contact info.

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