South Dakota HCBS Waivers
Official overview of CHOICES, Family Support 360, ADLS and HOPE waivers.
Official resource →NEUROCOACH CURATED · VERIFIED 2026-10-07
South Dakota
South Dakota operates four Medicaid HCBS waivers, including CHOICES and Family Support 360 for people with intellectual and developmental disabilities. The Department of Human Services coordinates disability and long-term-support access.
Important: South Dakota's I/DD pathways are split across different waiver purposes. CHOICES provides a broad menu for children and adults with I/DD, while Family Support 360 focuses on helping families support a person at home. Ask DHS which waiver best fits the person's setting and goals.
South Dakota Department of Human Services
Disability services, applications and statewide program navigation.
Official resource →Dakota at Home
Statewide long-term-services and caregiver navigation.
Official resource →South Dakota Rehabilitation Services
Vocational rehabilitation, independent living and employment services.
Official resource →South Dakota ABLE guidance
State guidance explaining ABLE accounts and out-of-state program access.
Official resource →DakotaLink
South Dakota assistive-technology services, device demonstrations and access.
Official resource →NAMI South Dakota
Family/peer support and local affiliates.
Official resource →Programs, eligibility, waitlists and covered services can change. NeuroCoach links to the administering agency wherever possible and uses these pages as navigation—not as a determination of eligibility or benefits.