<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s416de4fa-f98e-427e-8bb3-66b70d166e26P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s416de4fa-f98e-427e-8bb3-66b70d166e26C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s416de4fa-f98e-427e-8bb3-66b70d166e26000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:12:01:23"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000000">67:12:01:23</span></a><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000001">.  Medical-only coverage for certain children and pregnant women.</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> The following individuals are eligible for </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">Aid to Families With Dependent Children (A</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">FDC</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">)</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> medical-only services provided under article </span><a href="https://sdlegislature.gov/Rules?Rule=67:46"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">67:</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">4</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">6</span></a><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">:</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    (1)  A pregnant woman who meets the AFDC income and resource requirements of an assistance unit composed of the pregnant woman, her unborn child, and, if living in the home, the pregnant woman's spouse and any other family member who is applying for or receiving medical-only assistance under this section. At the family's option, any other household member who could be included in an AFDC assistance unit may be included in the determination. The pregnancy must be verified by a licensed or certified physician, physician's assistant, nurse practitioner, nurse midwife, community health nurse, or family planning nurse. Eligibility continues throughout the pregnancy without regard to income changes;</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    (2)  A woman who applied for </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">m</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">edicaid while pregnant and who was eligible for and received </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">m</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">edicaid on the date the pregnancy ended. Eligibility continues to the end of the month </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">sixty</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> days after the pregnancy ends if the AFDC resource limit is not exceeded. Coverage is limited to postpartum care and family planning services;</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    (3)  A child under age seven, if the </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">AFDC assistance </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">unit meets the AFDC income and resource requirements. The </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">AFDC assistance </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">unit </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">comprises</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> the child, the child's parents living in the home, and any other family member who is applying for or receiving medical-only assistance under this section. At the family's option, any other household member who could be included in an AFDC assistance unit may be included in the determination;</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    (4)  A dependent child of a minor parent who is ineligible for AFDC because of the deeming of the income of the minor parent's parent or the income of a sibling of the child;</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    (5)  A child under age six, whose family income is up to </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">one hundred thirty-three</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> percent of the federal poverty level established in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:11:01:03"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">67:11:01:03</span></a><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">. Eligibility continues up to age six as long as the family income remains below </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">one hundred thirty-three percent of </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">the </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">federal </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">poverty level. Persons considered in the determination </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">are</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> the child and any parents of the child living in the household as well as any other family member who is applying for or receiving medical-only assistance under this section. At the family's option, any other household member who could be included in an AFDC assistance unit may be included in the determination. Income is determined according to AFDC eligibility criteria;</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    (6)  A pregnant woman whose family income is up to </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">one hundred thirty-three</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> percent of the federal poverty level established in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:11:01:03"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">67:11:01:03</span></a><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">. Eligibility continues throughout the pregnancy and to the end of the month </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">sixty</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> days after the pregnancy ends without regard to income changes. Services payable are limited to those services that are related to pregnancy, postpartum care, or family planning. The pregnancy must be verified by a licensed or certified physician, physician's assistant, nurse practitioner, nurse midwife, community health nurse, or family planning nurse. Persons considered in the poverty level determination include the pregnant woman, her unborn child, and, if living in the home, the pregnant woman's spouse and any other family member who is applying for or receiving medical-only assistance under this section. At the family's option, any other household member who could be included in an AFDC assistance unit may be included in the income determination. Income is determined according to AFDC eligibility criteria;</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    (7)  A child who is age </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">six</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> but not yet age </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">nineteen</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">, whose family income is up to </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">one hundred</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> percent of the federal poverty level established in § </span><a href="https://sdlegislature.gov/Rules?Rule=67:11:01:03"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">67:11:01:03</span></a><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">. Persons considered in the determination </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">are</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> the child and the child's parents living in the home and other family members in the household who are applying for or receiving medical-only assistance under this section. At the family's option, any other household member who could be included in the AFDC assistance unit may be included in the income determination. Income is determined according to AFDC eligibility criteria; and</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    (8)  A child born to a woman eligible for and receiving </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">m</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">edicaid on the date of the child's birth. Eligibility continues for up to one year as long as the child is in the mother's household and the mother remains a resident of the state.</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000001">Source:</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> SL 1975, ch 16, § 1; 7 SDR 66, 7 SDR 89, effective July 1, 1981; repealed, 8 SDR 82, effective January 13, 1982; readopted, 8 SDR 174, effective June 28, 1982; 12 SDR 4, effective July 21, 1985; 12 SDR 112, effective January 16, 1986; 13 SDR 193, effective June 22, 1987; 15 SDR 2, effective July 17, 1988; 15 SDR 171, effective May 15, 1989; 17 SDR 8, effective July 23, 1990; 17 SDR 200, effective July 1, 1991; 19 SDR 68, effective November 9, 1992; 20 SDR 92, effective December 21, 1993; 21 SDR 67, effective October 13, 1994; 21 SDR 162, effective March 23, 1995; 22 SDR 32, effective September 11, 1995</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">; 51 SDR 52, effective November 11, 2024</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">.</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000001">General Authority:</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">28-</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">6-1</span></a><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">.</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000001">Law Implemented:</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">28-</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">6-1</span></a><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">.</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000001">Cross-References:</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    Medicaid coverage for children and pregnant women, </span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">Deficit Reduction Act of 1984, </span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">Pub. L. No. 98-369, § 2361, 98 Stat. 1104</span><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0"> (1984)</span><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">.</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    Individuals who must be included in assistance unit, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:12:01:69"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">67:12:01:69</span></a><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">.</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    Consideration of income of parent of minor parent, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:12:05:52.01"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">67:12:05:52.01</span></a><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">.</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">    Eligibility requirements, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01:02"><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0-000002">67:46:01:02</span></a><span class="s416de4fa-f98e-427e-8bb3-66b70d166e26C0">.</span></p><p dir="ltr" class="s416de4fa-f98e-427e-8bb3-66b70d166e26P0"><span xml:space="preserve" class="s416de4fa-f98e-427e-8bb3-66b70d166e26000003"> </span></p></div></body></html>