Transferring Medicaid from Vermont to South Dakota
The short answer is no. Medicaid eligibility is decided by the state you live in, so leaving Vermont closes that coverage. Your move to South Dakota means qualifying again under South Dakota income rules, through South Dakota Department of Social Services. Apply immediately — there is no new-resident waiting period.
Both states cover adults under expansion rules at 138% of the federal poverty level, so if you qualified on income in Vermont, you will likely qualify in South Dakota too.
Official South Dakota Medicaid agency: South Dakota Department of Social Services ↗ (application page)
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell Department of Vermont Health Access you are leaving
Report your move and ask for your case to be closed effective the end of the month you leave. Medicaid cannot cover you in two states at once.
Department of Vermont Health Access ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with South Dakota Department of Social Services as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days (90 if a disability decision is needed). From January 1, 2027 (earlier in some states), most adults in the expansion group must also show 80 hours a month of work, school, job training, or community service, or an exemption, possibly for 1 to 3 months preceding the application.
Online application ↗ - 5
Ask about retroactive coverage
Most states can pay eligible medical bills from as early as the third month before the month you apply, so ask when you apply if you had care during the gap. For applications filed on or after January 1, 2027, federal law (Public Law 119-21) shortens this to the month before the month you apply for adults in the expansion group and the second month before the month you apply for everyone else.
Vermont vs South Dakota: the numbers that decide it
| Vermont (old state) | South Dakota (new state) | |
|---|---|---|
| Program name | Green Mountain Care | South Dakota Medicaid |
| Agency | Department of Vermont Health Access | South Dakota Department of Social Services |
| ACA Medicaid expansion | Yes — adults covered on income | Yes — adults covered on income |
| Adult income limit | 138% of the federal poverty level | 138% of the federal poverty level |
Monthly income limits by household size: Vermont vs South Dakota
| Household size | Vermont | South Dakota |
|---|---|---|
| 1 person | $1,836 | $1,836 |
| 2 people | $2,489 | $2,489 |
| 3 people | $3,142 | $3,142 |
| 4 people | $3,795 | $3,795 |
| 5 people | $4,449 | $4,449 |
| 6 people | $5,102 | $5,102 |
Limits for adults, computed from each state's published % of the 2026 HHS poverty guidelines and rounded up to the dollar. Children, pregnancy, and 65+/disability rules differ; each state's own chart controls and may still show 2025 figures. Full tables: Vermont · South Dakota · 2026 poverty guidelines.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full Vermont → South Dakota checklistCommon questions
Can I use my Vermont Medicaid in South Dakota while I wait?
Generally no. Vermont Medicaid only pays providers for Vermont residents, and out-of-state care is limited to emergencies. Once you live in South Dakota, you need South Dakota coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in South Dakota?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on South Dakota's income and category rules from the day you become a resident. The application itself takes up to 45 days (90 if a disability decision is needed).
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the Vermont case effective your move month.
Where do I actually apply in South Dakota?
Through South Dakota Department of Social Services (online application linked above). Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
- Moving back: South Dakota to Vermont Medicaid
- Medicaid in Vermont: leaving or arriving
- Medicaid in South Dakota: leaving or arriving
- Moving with Medicaid: every state
- Vermont to West Virginia Medicaid
- Vermont to Utah Medicaid
- Vermont to South Carolina Medicaid
- Vermont to Oklahoma Medicaid
Other benefits on the same move
- SNAP: Vermont to South Dakota
- WIC: Vermont to South Dakota
- Unemployment: Vermont to South Dakota
- TANF: Vermont to South Dakota
Terms on this page: Federal poverty level (FPL) · Medicaid expansion · Retroactive Medicaid coverage
Official sources
Every fact above was checked against these official pages. Last verified .
- DVHA — members (Green Mountain Care) — accessed 2026-08-08
- Vermont Health Connect (application portal) — accessed 2026-08-08
- SD DSS — Medicaid — accessed 2026-08-08
- SD DSS — Medicaid changes (HR1) — expansion group definition — accessed 2026-08-08