Shawnie Rechtenbaugh, Department Secretary

long term services and supports (LTSS) home page
Innovation Grants
LTSS Forms & Publications
Home & Community-Based Services
Caregiver Supports
Nursing Facility Care
Provider Resources
Dakota At Home
Links and Resources
Ombudsman Program
Senior Health Information & Insurance Education (SHIINE)
Referral Form

long term services and supports

frequently asked questions

Q. Where can my elderly relative get help to clean their house or apartment?

A. Homemaker Services makes it possible for older persons to live in their own homes or to return to their homes by providing assistance in completing tasks they are unable to manage alone. Contact Dakota at Home to learn more about available long-term services and supports

Q. My sister cares for my elderly father; are there any services she can get?

A. Today, caregivers and the individuals they care for face complicated choices and decisions about long-term care. Caregiver Services are key supports that assist caregivers to care for their loved ones at home for as long as possible.

Services available through the South Dakota Caregiver Program include:

Q. What services does the State of South Dakota have to help the elderly?

A. The Division of Long-Term Services and Supports provides in-home and community-based services to individuals 60 years of age and older. Contact Dakota at Home to learn more about available long-term services and supports.

Q. Where do I find services for my brother who has a physical disability?

A. The Division of Long-Term Services and Supports has a variety of services for individuals 60 years of age and older and for individuals 18 years of age and older with disabilities. Contact Dakota at Home to find out about supports in-home and community-based services that are available to meet your brother's need for services.

Q. My grandparents need help to be able to continue living in their home. What is available?

A. Please review the following services which may be appropriate to meet the needs of your grandparents.

Contact Dakota at Home to learn more about available long-term services and supports.

Q. I believe my relative in the nursing home is being mistreated. How do I report this?

A. The Long-Term Care Ombudsman Program advocates for and protects the rights of residents of nursing homes and assisted living. Long Term Care Ombudsman serve as advocates for residents and investigate and work towards the resolution of their complaints.

Ombudsman provide information and referral assistance, conduct educational activities to increase community awareness of elder rights and provide training to long-term care and residential care workers.  All reports and inquiries are confidential.

Q. How do I make a complaint about a nursing home or assisted living center?

A. Visit the Department of Health's website or call 1.800.738.2301.

Q. I'm age 47 and disabled and cannot afford my medications.  Is there any financial help for me?

A. Prescription Assistance helps people gain access to drug company assistance programs which supply prescription medications at low or no cost. Prescription application assistance does not pay for medications or reimburse past medication expenses.

Q. Are there services available to help me with my disabled adult child?

A. Caregiver Services includes respite care which provides temporary relief to the primary caregiver from the continuous support and care of an elderly or dependent adult.

Q. Do you have any nutritional programs that provide food for the elderly?

A. There are 17 nonprofit Senior Meals providers in South Dakota.  These providers are 12 Title III-C and 5 Title VI (Older Americans Act direct funding to the tribes).  Nutrition programs are sponsored by either a nonprofit organization or a tribal or local government agency.  Communities desiring a nutrition program may become a satellite of an existing organization.

Q. What is the process in obtaining Guardianship of a loved one and who can become a Guardian?

A. Contact a local attorney to inquire about the legal requirements to establish a Guardian. South Dakota statute SDCL 29A-5-302 is the legal authority. A family member or friend may petition to become a person's Guardian.

Q. Does Medicare pay for Home Health Services?

A. Under certain circumstances, the Skilled Medicare Home Health benefit may cover needed skilled services after an acute episode.

Contact the nearest Home Health Agency in your area to find out if you meet the criteria for the Skilled Medicare Home Health services. Visit to learn more.