Shawnie Rechtenbaugh, Department Secretary

long term services and supports (LTSS) home page
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Senior Health Information & Insurance Education (SHIINE)
Older Americans Act
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long term services and supports

The mission of the Division of Long Term Services and Supports (LTSS) is "To provide opportunities to enable older South Dakotans and adults who are disabled to live independent, meaningful, and dignified lives while maintaining close family and community ties by promoting long term services and supports to prevent or delay premature or inappropriate institutionalization."

LTSS provides home and community-based service options to individuals 60 years of age and older and 18 years of age and older with disabilities. In accordance with the Older Americans Act and other applicable state and federal laws, LTSS provides or purchases services for South Dakotans who meet program eligibility.

Located in each Long Term Services and Supports Field Offices are Long Term Services and Supports Specialists who provide information and referral services, assistance to access in-home and community-based services, needs assessments, ongoing case management, care plan development and adult protective services to individuals living in South Dakota communities.

South Dakota has a variety of providers available throughout the state for home and community based services , assisted living center services , and nursing facility services .

Use the online Dakota at Home Resource Directory to find information, resources, and locate in-home and community-based agencies, organizations, and providers.


Dakota at home

Dakota at Home is a free information and referral service. We provide objective information and options planning to help individuals, regardless of age, disability, or income, identify and access public and private services and supports in their local communities.

Dakota at Home is South Dakota's Aging and Disability Resource Center

Dakota at Home provides free objective information, referral, and assistance to individuals regardless of age, disability, income, or resources. Our trained staff will help identify the public and private long-term services and supports you need to continue living at home in your South Dakota community.

Dakota at Home is:

A free phone and online referral service
An easy way to locate resources to help people remain in their home
Designed to assist individuals with disabilities, aging individuals and caregivers
Helpful and knowledgeable

Dakota at Home Options Planning

Options Planning is a free service. Information and decision-making support is provided to individuals, caregivers, and family members to help identify available long-term services and supports. Options Planning will educate and prepare you on how to meet future long-term care needs at home and in the community.


electronic visit verification (EVV) 

Section 12006(a) of the 21st Century Cures Act requires states to implement electronic visit verification (EVV) for all Medicaid personal care services that require an in-home visit by a provider beginning January 1, 2020. This applies to personal care provided within the HOPE waiver program and other Medicaid personal care services authorized by the Division of Long Term Services and Supports (LTSS). Additionally, LTSS will require EVV for all in-home services authorized by LTSS.  LTSS is working with the case management system vendor, Therap, to develop EVV capabilities and procedures.

What is Electronic Visit Verification (EVV)?

Electronic visit verification is a process that requires providers to verify that scheduled visits for in home services occurred.  Data is collected electronically during visits including:

Who will be affected by EVV?

What will be different?

What if have questions regarding EVV?

Other EVV resources


State Plan on Aging

The South Dakota State Plan on Aging Survey was developed to better understand older individuals and their future needs as they age in South Dakota. Your answers to this survey will help guide the development of the 2021 - 2025 SD State Plan on Aging, and increase the understanding of how best to serve, support, and celebrate older adults across our great state. 

We invite you to complete the South Dakota State Plan on Aging Survey by visiting We also invite you to encourage your friends and neighbors to complete the survey for themselves. Survey responses will be collected from participants across the state until December 31, 2020.   

Thank you for your time and contribution.   We value your opinion and greatly appreciate your participation in the South Dakota State Plan on Aging Survey!


The SD Division of Long Term Services and Supports


You can view the 2017-2021 State Plan on Aging by clicking on the following links: