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Division of Developmental Disabilities

Adult Foster Care

What is Adult Foster Care?

The primary function of an Adult Foster Care home is to provide general supervision and personal care services for individuals who require minimal assistance in activities of daily living (ADLs), who require supervision/monitoring with the self-administration of medications, and who require supervision/monitoring of self-treatment of physical disorder. Activities of daily living are defined as any activity normally done in daily life which includes sleeping, dressing, bathing, eating, brushing teeth, combing hair, etc.

The Division of Developmental Disabilities has funding, case management, eligibility determination, and placement responsibilities for Adult Foster Care for persons with disabilities between the ages of 18-59. The Division currently has individuals receiving adult foster care services in licensed homes throughout the state.

Who is eligible for Adult Foster Care services?

Individuals between the ages of 18 and 59 who are capable of self-preservation in emergency situations and need supervision or monitoring in one of the following areas:

1. The activities of daily living;
2. The self-administration of medications; or
3. The self-treatment of a physical disorder.

How do I apply for Adult Foster Care services?

By making a Long Term Care Application with the Department of Social Services, Division of Economic Assistance. The applicant should indicate an intent to apply specifically for Adult Foster Care.

Can I provide Adult Foster Care?

Any interested party who would like to have their home licensed to provide adult foster care services in their home environment. No more than 4 people in the adult foster care program may reside in a licensed home. For more information on a licensed home, contact the Department of Health.

Administrative Rules of South Dakota governing Adult Foster Care:

44:04:01:02.01 - Annual license fees for health care facilities
44:04:01:08 - Modifications.
44:04:01:02.02 - License amendment application fee.
67:45:01:04.01 - Adult Foster Care classification.
67:45:01:02 - Medical review team to determine level of care.
67:45:01:08 - Redetermination of level of care classification.
67:45:02:11 - Utilization review.


Division of Developmental Disabilities
E. Hwy. 34 Hillsview Plaza
c/o 500 E. Capitol
Pierre, SD 57501