Can a spouse be paid?
YesYes — 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
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.
$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
There may be a waitlist. Applying early holds your place.
capped at ~3,704 beneficiaries/year; a waitlist can form
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
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
Run by: South Dakota Dept. of Human Services, Division of Long-Term Services & Supports (financial eligibility via Dept. of Social Services)
A program that can pay a family member for care at home.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
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.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
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.
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.
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
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
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.
There may be a waitlist. Applying early holds your place. Details: capped at ~3,704 beneficiaries/year; a waitlist can form
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.
The programs are the same across South Dakota. Pick your county to see how they work where you live.
Answer 5 easy questions. See your programs and pay before you share any contact info.