Get paid to care for family in Grant County
Most of the 1,900 people in Grant County who are 65 or older are cared for at home, by a relative. South Dakota Medicaid can pay you for that work.
Grant County at a glance
- Aged 65+
- 1,900
- Aged 85+
- 288
- Rank in SD
- 20th
- Median age
- 44.9
25% of residents
when daily help usually starts
of 66 counties, by residents 65+
older than the country
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Grant County is one of the most rural counties in the country (Rural-Urban Continuum Code 9).
- 50 + DC
- states covered
- 3,144
- counties with local data
- $0
- it is always free to apply
- 2 min
- to see if you qualify
Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program
Care in Grant
What being a paid caregiver looks like here
About 1,900 people in Grant County are 65 or older — 25% of everyone who lives here. That is an older county than South Dakota overall, so more families here are already doing this work. Roughly 288 are 85 or older, the age when daily help usually starts. Out here, hiring an outside agency often is not realistic at all. Being paid to do the care yourself is not a workaround — it is how these programs were designed to work.
Statewide, 173,800 people in South Dakota are 65 or older — 19% of the state, across 66 counties.
What South Dakota pays family caregivers
$392/week
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
South Dakota's programs at a glance
- Structured Family Caregiving (HOPE Waiver)
- Spouse paid?
- Yes
- Parent paid for a child?
- Not right now
- Waitlist
- There may be a waitlist — apply early.
These rules are set by the state, so they are the same in every county. Read the full South Dakota guide →
Towns and cities in Grant County
South Dakota sets eligibility, not your town — so a family in Milbank and a family at the far edge of the county apply the same way. The largest communities in Grant County:
- Milbank3,545
- Big Stone City413
- Stockholm106
- Revillo98
- Strandburg66
- La Bolt62
- Twin Brooks47
- Marvin19
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Grant apply
You do not need a county office to start. Families in Grant County start with South Dakota's program:
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.
Or skip the phone tag — our free 2-minute check tells you which South Dakota program fits your family, then we help with the forms.
See if you qualify →Grant questions, answered honestly
Can I get paid to care for a family member in Grant County?
Yes. South Dakota runs real Medicaid programs — like Structured Family Caregiving (HOPE Waiver) — that pay family caregivers, and they cover families in Grant County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Grant County?
Reported figures in South Dakota are around $392/week, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Grant County apply?
Families in Grant County start with the state, not the county. 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.
Can I get paid to care for my spouse in Grant County?
Yes — a spouse can be paid here. The fine print for South Dakota: yes — spouses may serve as the paid SFC caregiver; caregiver and recipient must live in the same home
How many people in Grant County might need this?
1,900 residents of Grant County are 65 or older and about 288 are 85 or older, according to the U.S. Census Bureau's 2024 population estimates. Most of them are cared for at home by a relative rather than in a facility. South Dakota's programs exist to pay for exactly that care.
Which towns in Grant do you cover?
All of Grant County — including Milbank, Big Stone City, Stockholm, Revillo and Strandburg. Eligibility is set by South Dakota, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from South Dakota's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
Guides
For families in Grant County
Start with the South Dakota caregiver program, then read how the pieces fit together.
Nearby
Counties next to Grant
The counties Grant touches, by Census boundaries — a few of those borders run across water. Ones marked with a state abbreviation are across the line, and their rules are their state's, not this one's.
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