2026 income limits

South Dakota Medicaid Income Limits 2026: Chart by Household Size & Family of 4

Quick answer: most South Dakota adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels. The chart below lists the South Dakota Medicaid income requirements and guidelines for 2026 — all effective cutoffs including the 5% MAGI disregard, computed from the official 2026 FPL table (ASPE / Federal Register). State standards are from the CMS national eligibility table, as of 2023-12-01.

South Dakota Medicaid is the South Dakota Medicaid program. The 2026 South Dakota Medicaid income limits are the figures on this page, shown as both the state percentages and dollar charts by household size.

South Dakota Medicaid work requirement 2027: the federal work-requirement deadline for South Dakota is January 1, 2027. The income cutoffs on this page are the 2026 figures in effect now; see the South Dakota work-requirement page for hours, exemptions and the reporting timeline.

Verification: All figures come from the CMS national eligibility table (2023-12-01 snapshot); the parents standard is dollar-based (CMS equivalent ~46% FPL) and exact dollars are pending state verification.

Adults 19-64 (South Dakota Medicaid expansion group) — 2026 income limits

138% FPL effective

Adults 19-64 (South Dakota Medicaid expansion group) income limits 2026: 138% of the federal poverty level — about $1,835/month for a household of 1 and $3,795/month for a family of 4.

2026 South Dakota monthly income limits for Adults 19-64 (South Dakota Medicaid expansion group), from a household of 1 to a family of 8. Effective cutoffs including the 5% MAGI disregard.
Household	Family of 1	Family of 2	Family of 3	Family of 4	Family of 5	Family of 6	Family of 7	Family of 8
Monthly income limit	$1,835	$2,489	$3,142	$3,795	$4,448	$5,101	$5,755	$6,408

Base standard 133% FPL + 5% MAGI disregard = 138% effective. Larger households: add roughly $653/month per additional person.

The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.

Children 0-18 (Medicaid) — 2026 income limits

187% FPL effective

Children 0-18 (Medicaid) income limits 2026: 187% of the federal poverty level — about $2,487/month for a household of 1 and $5,143/month for a family of 4.

2026 South Dakota monthly income limits for Children 0-18 (Medicaid), from a household of 1 to a family of 8. Effective cutoffs including the 5% MAGI disregard.
Household	Family of 1	Family of 2	Family of 3	Family of 4	Family of 5	Family of 6	Family of 7	Family of 8
Monthly income limit	$2,487	$3,372	$4,257	$5,143	$6,028	$6,913	$7,798	$8,683

Base standard 182% FPL + 5% MAGI disregard = 187% effective. Larger households: add roughly $885/month per additional person.

Medicaid coverage for children. No premiums and no asset test.

Children (separate CHIP — South Dakota CHIP) — 2026 income limits

209% FPL effective

Children (separate CHIP — South Dakota CHIP) income limits 2026: 209% of the federal poverty level — about $2,780/month for a household of 1 and $5,748/month for a family of 4.

2026 South Dakota monthly income limits for Children (separate CHIP — South Dakota CHIP), from a household of 1 to a family of 8. Effective cutoffs including the 5% MAGI disregard.
Household	Family of 1	Family of 2	Family of 3	Family of 4	Family of 5	Family of 6	Family of 7	Family of 8
Monthly income limit	$2,780	$3,769	$4,758	$5,748	$6,737	$7,726	$8,715	$9,705

Base standard 204% FPL + 5% MAGI disregard = 209% effective. Larger households: add roughly $989/month per additional person.

Separate CHIP coverage for uninsured children above the Medicaid children's ceiling, under the South Dakota CHIP name. Benefits match Medicaid; small copays may apply for some services.

Pregnant women — 2026 income limits

138% FPL effective

Pregnant women income limits 2026: 138% of the federal poverty level — about $1,835/month for a household of 1 and $3,795/month for a family of 4.

2026 South Dakota monthly income limits for Pregnant women, from a household of 1 to a family of 8. Effective cutoffs including the 5% MAGI disregard.
Household	Family of 1	Family of 2	Family of 3	Family of 4	Family of 5	Family of 6	Family of 7	Family of 8
Monthly income limit	$1,835	$2,489	$3,142	$3,795	$4,448	$5,101	$5,755	$6,408

Base standard 133% FPL + 5% MAGI disregard = 138% effective. Larger households: add roughly $653/month per additional person.

Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage. No asset test.

Parents & caretaker relatives (dollar standard) — 2026 income limits

State dollar standard (CMS equivalent 46% FPL)

Parents & caretaker relatives (dollar standard) income limits 2026: South Dakota sets the parents/caretaker income standard in dollars rather than as an FPL percentage; CMS converts it to an equivalent of about 46% FPL for this group. We do not print a dollar schedule until it is verified against South Dakota Department of Social Services — contact them for the exact figures. Parents above this standard qualify through the adult expansion group instead.

South Dakota sets the parents/caretaker income standard in dollars rather than as an FPL percentage; CMS converts it to an equivalent of about 46% FPL for this group. We do not print a dollar schedule until it is verified against South Dakota Department of Social Services — contact them for the exact figures. Parents above this standard qualify through the adult expansion group instead.

The parents and caretaker relatives category, set in dollars by the state (CMS equivalent ~46% FPL).

South Dakota publishes MAGI standards as a percent of FPL and applies the federal 5-percentage-point income disregard when it makes someone eligible, so each group has a base standard and a slightly higher effective cutoff. The tables below show the effective figures in dollars, computed from the official 2026 federal poverty guidelines.

MAGI household size follows federal tax-filing relationships, not who lives under your roof - and a pregnant applicant counts the expected child(ren).

What does 138% of FPL mean? The federal poverty chart, by household size →Medicaid income limits in every state →South Dakota Medicaid work requirements 2027: hours, exemptions & timeline → Check your 2027 work-requirement compliance paths →South Dakota Medicaid exemptions — run the self-check →On irregular income? The $580/month alternative →When every state's work requirement starts →If coverage ends: ranked fallbacks →State tracker: enforcement dates & disenrollment data →

Frequently asked questions

What is the South Dakota Medicaid income limit in 2026?

It depends on the coverage group. most South Dakota adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels.

What is the South Dakota Medicaid income limit for a family of 2?

Adults 19-64 (South Dakota Medicaid expansion group) — 138% of the federal poverty level, about $2,489/month for a family of 2 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.

What is the South Dakota Medicaid income limit for a family of 3?

Adults 19-64 (South Dakota Medicaid expansion group) — 138% of the federal poverty level, about $3,142/month for a family of 3 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.

What is the South Dakota Medicaid income limit for a family of 4?

Adults 19-64 (South Dakota Medicaid expansion group) — 138% of the federal poverty level, about $3,795/month for a family of 4 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.

What is the South Dakota Medicaid income limit for a family of 5?

Adults 19-64 (South Dakota Medicaid expansion group) — 138% of the federal poverty level, about $4,448/month for a family of 5 in 2026. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.

What income is too high for Medicaid in South Dakota?

There is no single number — every coverage group has its own ceiling. In South Dakota, an adult under 65 qualifies with household income up to $1,835/month for one person (138% FPL). Go above that and the adult group no longer covers you. Children and pregnant women stay covered at much higher levels: children to 187% FPL and pregnant women to 138% FPL.

What is the income limit for Adults 19-64 in South Dakota?

Adults 19-64 (South Dakota Medicaid expansion group): 138% of the federal poverty level, about $1,835/month for a household of one. The ACA expansion group: adults 19-64 who qualify on income alone and are not eligible in another category such as disability or pregnancy. This is the group the 2027 work requirement applies to. No asset test.

What is the income limit for Children 0-18 in South Dakota?

Children 0-18 (Medicaid): 187% of the federal poverty level, about $2,487/month for a household of one. Medicaid coverage for children. No premiums and no asset test.

What is the income limit for Children in South Dakota?

Children (separate CHIP — South Dakota CHIP): 209% of the federal poverty level, about $2,780/month for a household of one. Separate CHIP coverage for uninsured children above the Medicaid children's ceiling, under the South Dakota CHIP name. Benefits match Medicaid; small copays may apply for some services.

What is the income limit for Pregnant women in South Dakota?

Pregnant women: 138% of the federal poverty level, about $1,835/month for a household of one. Count the expected child(ren) in household size. Federal law guarantees 12 months of postpartum coverage. No asset test.

What are the South Dakota Medicaid income limits for seniors (65 and older)?

The limits above are MAGI standards for children, pregnant women, parents and adults under 65. People 65 or older (and people with disabilities of any age) qualify under separate non-MAGI categories with their own dollar limits, which can include an asset test. South Dakota Department of Social Services publishes those figures and makes the final determination.

What are the South Dakota Medicaid income limits in 2026?

South Dakota Medicaid is the South Dakota Medicaid program. Its income limits are the ones on this page: most South Dakota adults qualify with household income up to $1,835/month (single) — 138% of the 2026 federal poverty guidelines. Children and pregnant women qualify at much higher levels.

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Reviewed by Gavin YE, Technical Director, ClearRules Labs.

Page last reviewed 2026-09-21