Emergency Assistance for Seniors in South Dakota

Emergency Assistance, Resources, and Programs for Seniors in South Dakota (Authority Guide)

Last updated: August 2025

Note: If you are in immediate danger, call 911.

Quick Help Box
• Emergencies: Call 911
• Crisis counseling or thoughts of suicide: Call or text 988, or use chat at the 988 Suicide & Crisis Lifeline (see: https://988lifeline.org/)
• Find local help fast (food, shelter, utilities, transportation, caregiving): Call 211 or visit the South Dakota 211 Helpline Center (https://www.helplinecenter.org/2-1-1-community-resources/south-dakota-211/)
• Aging & Disability Resource Center (statewide): Dakota at Home, 1-833-663-9673 (https://dakotaathome.org/)
• Severe weather and disasters (state): South Dakota Office of Emergency Management (https://dps.sd.gov/emergency-services/emergency-management)
• Federal disaster assistance when declared: DisasterAssistance.gov (https://www.disasterassistance.gov/)

Reality check: In tough weather or disaster periods, phone lines and websites can be busy. Keep trying, leave voicemails, and ask a trusted family member, neighbor, or your local library to help with online forms if needed.


How to use this guide

  • Start with the emergency section to handle urgent needs (safety, food, heat, utilities, shelter).
  • Then review program sections (health care, housing, in-home help, transportation).
  • Use the “Resources by Region” section to find nearby contacts.
  • Keep documents handy (ID, Social Security number if you have one, proof of address, income, utility bills, lease or mortgage, and medical info).

This guide links to official South Dakota and federal sources and well-established nonprofits so you can verify details.


Immediate Emergency Help in South Dakota

Life safety and weather

Elder abuse, neglect, or exploitation

  • If someone is in immediate danger: call 911.
  • To report suspected abuse, neglect, or financial exploitation of an older adult or adult with a disability, contact South Dakota Long-Term Services and Supports (LTSS) for Adult Protective Services. See program details and reporting steps at South Dakota LTSS (https://dhs.sd.gov/ltss/).
  • The Long-Term Care Ombudsman helps residents of nursing homes and assisted living with complaints and rights. Learn more at South Dakota LTSS – Ombudsman (https://dhs.sd.gov/ltss/).

Mental health and emotional support

Fast connections to local help


At-a-Glance: Who to Call Right Now

Need What to do Official link
Life-threatening emergency Call 911 N/A
Suicide, emotional crisis Call or text 988; chat online 988 Suicide & Crisis Lifeline: https://988lifeline.org/
Find local food, shelter, bill help Call 211 or search online South Dakota 211 Helpline Center: https://www.helplinecenter.org/2-1-1-community-resources/south-dakota-211/
Aging & Disability help (statewide) Call Dakota at Home ADRC: 1-833-663-9673 https://dakotaathome.org/
Severe weather & disasters Follow state alerts and find county contacts SD Office of Emergency Management: https://dps.sd.gov/emergency-services/emergency-management
Disaster aid (declared events) Apply for FEMA assistance DisasterAssistance.gov: https://www.disasterassistance.gov/
Elder abuse/neglect Report to Adult Protective Services; call 911 if in danger SD LTSS: https://dhs.sd.gov/ltss/

Tip: If calling after hours, leave a clear voicemail with your name, callback number, town, and a short description of the problem.


Food, Heat, Shelter, and Cash in a Pinch

South Dakota winters, power outages, and fixed incomes can make ends hard to meet. These programs can help. Some have waitlists. Apply early and keep copies of all documents you submit.

Food help

  • Supplemental Nutrition Assistance Program (SNAP): Monthly food benefits on an EBT card. Learn eligibility and apply via the South Dakota Department of Social Services (DSS): https://dss.sd.gov/economicassistance/snap/.
  • Senior nutrition (congregate meals and home-delivered meals): Provided under the Older Americans Act through South Dakota LTSS. Learn about services and providers via South Dakota LTSS (https://dhs.sd.gov/ltss/).
  • Commodity Supplemental Food Program (CSFP) “Senior Boxes”: USDA program that provides monthly food boxes to eligible seniors. See USDA CSFP contacts to find the South Dakota administrator (https://www.fns.usda.gov/csfp/contacts). Feeding South Dakota also operates senior food distributions; find locations at Feeding South Dakota – Find Food (https://www.feedingsouthdakota.org/find-food).
  • HUD Find Shelter tool (nationwide) can locate nearby food pantries and shelters: https://www.hud.gov/findshelter.

Heat, utilities, and weatherization

  • Low-Income Home Energy Assistance Program (LIHEAP): Helps pay a portion of heating costs (including propane, fuel oil, wood, and electricity). Apply through South Dakota DSS Energy Assistance (https://dss.sd.gov/economicassistance/energyassistance/).
  • Weatherization Assistance Program (WAP): Free energy-saving repairs (insulation, air sealing, safety checks) for eligible households to reduce energy bills. See South Dakota’s state page via U.S. Department of Energy (https://www.energy.gov/scep/wap/weatherization-assistance-program-south-dakota).
  • If you’re facing shutoff, call your utility right away to ask about payment plans and medical necessity exceptions. For consumer rights and help with complaints, see the South Dakota Public Utilities Commission Consumer Info (https://puc.sd.gov/consumers/).

Emergency shelter and housing help

Money when disaster strikes

Table: Utility and Housing Help Snapshot

Program What it covers Who it’s for Where to apply/learn more
LIHEAP (Energy Assistance) Helps pay part of heating costs Income-eligible households; renters and homeowners SD DSS Energy Assistance: https://dss.sd.gov/economicassistance/energyassistance/
Weatherization (WAP) Free energy-saving repairs to cut bills Income-eligible; priority for seniors, disabled, and high energy users DOE – SD Weatherization page: https://www.energy.gov/scep/wap/weatherization-assistance-program-south-dakota
Affordable rentals Search for lower-cost units Seniors and low-income renters; waitlists common SDHDA – Find Housing: https://www.sdhda.org/renters/find-housing
Public housing and vouchers Rent subsidies Low-income seniors; waitlists likely HUD PHAs in SD: https://www.hud.gov/program_offices/public_indian_housing/pha/contacts
Emergency shelter Short-term shelter, warming/cooling centers Anyone in immediate need SD 211 Helpline Center: https://www.helplinecenter.org/2-1-1-community-resources/south-dakota-211/

Reality check: LIHEAP and Weatherization funding is limited each year. Apply early and check back if you’re placed on a waitlist.


Health Care and Medical Costs

Medicaid and Medicare help

  • South Dakota Medicaid (including coverage for older adults and people with disabilities): Learn about eligibility and apply via DSS Medicaid (https://dss.sd.gov/medicaid/).
  • Medicare Savings Programs (MSPs): State programs that can help pay Medicare Part B premiums and sometimes other costs if your income is limited. See DSS Medicaid – Medicare Savings Programs (https://dss.sd.gov/medicaid/).
  • Extra Help (Low-Income Subsidy) for Medicare Part D: Helps with prescription drug plan costs. Apply through Social Security (https://www.ssa.gov/benefits/medicare/prescriptionhelp/).
  • SHIINE (State Health Insurance Assistance Program in SD): Free Medicare counseling and plan comparisons. Official site: https://shiine.net/.

Non-emergency medical rides

  • Medicaid Non-Emergency Medical Transportation (NEMT): If you have South Dakota Medicaid, you may qualify for rides or mileage reimbursement for medical appointments. See DSS Medicaid transportation information (https://dss.sd.gov/medicaid/).
  • If you don’t have Medicaid, call 211 to find local volunteer driver programs or public transit options.

Public health and vaccinations

  • South Dakota Department of Health lists vaccination clinics, disease prevention info, and county health resources (https://doh.sd.gov/).
  • For VA health care (veterans), see VA Sioux Falls and VA Black Hills Health Care Systems (find care at https://www.va.gov/find-locations/).

Mental and behavioral health

Table: Health and Care Cost Help

Program/Service What it does How to connect
South Dakota Medicaid Health coverage for low-income seniors/disabled https://dss.sd.gov/medicaid/
Medicare Savings Programs Helps pay Medicare costs for those with limited income https://dss.sd.gov/medicaid/
Extra Help (Part D) Lowers prescription costs https://www.ssa.gov/benefits/medicare/prescriptionhelp/
SHIINE (Medicare counseling) Free, unbiased Medicare help https://shiine.net/
NEMT (Medicaid rides) Transportation/mileage to medical visits https://dss.sd.gov/medicaid/
SD Dept. of Health Vaccines, disease info, clinics https://doh.sd.gov/

Reality check: Enrollment periods, proofs, and asset limits can be confusing. Don’t guess—call SHIINE for free, unbiased Medicare help, and ask DSS about Medicaid or MSP eligibility.


In-Home Help, Caregiving, and Protection

  • Dakota at Home (Aging & Disability Resource Center): A free statewide helpline and resource navigator for services like in-home help, caregiver support, home modifications, and benefits counseling. Phone 1-833-663-9673; website: https://dakotaathome.org/.
  • South Dakota Long-Term Services and Supports (LTSS): Provides in-home services, caregiver support, senior nutrition, Adult Protective Services, and the Long-Term Care Ombudsman program. Program information at https://dhs.sd.gov/ltss/.
  • Long-Term Care Ombudsman: Advocates for residents in nursing homes and assisted living; helps resolve complaints and protect rights (https://dhs.sd.gov/ltss/).

Reality check: Home-care hours are limited and depend on assessed need, available providers, and funding. Ask about waitlists, priority criteria, and short-term options (like temporary homemaker services or respite) while you wait.


Transportation Options (Local and Regional)

South Dakota is rural, so trip planning matters. Book rides early, especially in winter. Always ask about fares, senior discounts, and wheelchair access.

If you are a veteran, check for DAV (Disabled American Veterans) volunteer rides to VA appointments: DAV Transportation Network (https://www.dav.org/veterans/i-need-a-ride/).

Table: Transit Snapshot (Examples)

Provider Service area How to learn more
Sioux Area Metro Sioux Falls area https://www.siouxfalls.org/sam
Rapid Transit System Rapid City https://www.rcgov.org/departments/rapid-transit-system.html
Prairie Hills Transit Black Hills region https://www.prairiehillstransit.org/
River Cities Public Transit Pierre and central SD https://rcptransit.com/
Community Transit of Watertown/Sisseton Northeast SD https://www.communitytransitinc.com/
People’s Transit Huron/Beadle County and nearby https://www.peoplestransit.com/

Tip: Keep a “ride folder” with appointment times, clinic addresses, mobility needs, and required notice (some services require booking 24–48 hours ahead).


Housing Solutions for Seniors

Reality check: Most affordable housing has waitlists. Apply to multiple properties and PHAs. Keep your contact info updated with every office to avoid losing your spot.


Money, Phones, and Internet

  • Social Security and SSI: Apply, report changes, and manage benefits at Social Security (https://www.ssa.gov/). SSI can help very low-income seniors.
  • Lifeline (phone discount): The federal Lifeline program lowers the cost of phone or internet for eligible households (https://www.lifelinesupport.org/).
  • Affordable Connectivity Program (ACP): Federal funding lapsed in 2024; new enrollments and benefits are paused unless Congress restores funding. Check status at the FCC ACP page (https://www.fcc.gov/acp).
  • Banking and fraud protection tips: The South Dakota Attorney General’s Consumer Protection Office provides scam alerts and complaint forms (https://atg.sd.gov/Consumers/Default.aspx).

Veterans in South Dakota

Reality check: VA claims can take time. Keep copies of every document, and work with a County/Tribal VSO (find contacts via SDDVA: https://vetaffairs.sd.gov/).


Tribal Elders (Native American Seniors)

Many South Dakota seniors are served by tribal programs and Indian Health Service in the Great Plains Area.

Tip: If you live on tribal land, ask both the tribal program (Title VI, housing, IHS) and statewide programs (LIHEAP, Weatherization, Medicaid) about eligibility—you may qualify for both.


LGBTQ+ Seniors

Reality check: Rural areas may have fewer dedicated LGBTQ+ senior services. Ask providers directly about inclusive care, and bring a support person to appointments when possible.


Rural Seniors (Limited Access)

  • Transportation: Book rides ahead and ask about out-of-town medical trips (see regional transit links above).
  • Home delivery: Ask your pharmacy and grocery about delivery; some senior meal programs offer frozen or shelf-stable options through South Dakota LTSS (https://dhs.sd.gov/ltss/).
  • Telehealth: Check with your clinic or VA about phone/video visits. Libraries often help with internet access and printing.
  • Mail-in/phone applications: Many programs allow mail, phone, or online applications—ask DSS (https://dss.sd.gov/) and Dakota at Home (https://dakotaathome.org/) for the easiest method for you.

Taxes, Property Relief, and Legal Help

Table: Money and Legal Snapshot

Topic What it offers Where to learn more
Property Tax Relief Programs for eligible seniors/disabled SD Dept. of Revenue: https://dor.sd.gov/individuals/taxes/property-tax/
Free Tax Prep In-person tax help during season AARP Tax-Aide: https://www.aarp.org/money/taxes/aarp_taxaide/
Legal Aid (East) Civil legal help for low-income seniors East River Legal Services: https://www.erlservices.org/
Legal Aid (West/Tribal) Civil legal help; tribal matters Dakota Plains Legal Services: https://www.dpls.org/

Resources by Region (Examples and Starting Points)

Use 211 to confirm hours and eligibility before you go: https://www.helplinecenter.org/2-1-1-community-resources/south-dakota-211/

Sioux Falls and Southeast

Rapid City and the Black Hills

Northeast (Aberdeen, Watertown, Brookings, Sisseton)

Central (Pierre/Fort Pierre, Mobridge, Chamberlain)

Reservations and Tribal Communities


Assistive Technology and Accessibility


Step-by-Step: Applying for Common Benefits

  1. Gather documents
  • Photo ID (driver’s license or tribal ID), Social Security number if you have one, proof of address, utility bills, lease or mortgage, proof of income (award letters, pay stubs, or bank statements), and medical coverage cards.
  1. Call first
  1. Submit and follow up
  • Keep copies of your application and any confirmations.
  • Mark your calendar for interviews, recertifications, and due dates.
  1. If denied
  • Read the denial letter. Many programs allow appeals or let you reapply with missing paperwork. Ask 211, SHIINE (https://shiine.net/), or legal aid for guidance.

Frequently Asked Questions (FAQs)

Q1) I heat with propane. Can LIHEAP help with a fuel delivery?
A: Yes, LIHEAP in South Dakota can help pay a portion of heating costs, including propane. Start with SD DSS Energy Assistance (https://dss.sd.gov/economicassistance/energyassistance/). If your tank is nearly empty, also call your vendor to ask about emergency fills and payment options.

Q2) How do I find a safe warm place during a blizzard or power outage?
A: Call 211 for open warming centers or shelters (https://www.helplinecenter.org/2-1-1-community-resources/south-dakota-211/). Your county emergency manager may post locations; find contacts via SD Office of Emergency Management (https://dps.sd.gov/emergency-services/emergency-management/local-emergency-managers).

Q3) Where do I report suspected elder abuse in South Dakota?
A: If immediate danger, call 911. Otherwise, report to Adult Protective Services through South Dakota LTSS (program info: https://dhs.sd.gov/ltss/). The Long-Term Care Ombudsman helps with issues in nursing homes and assisted living.

Q4) I’m on Medicare and my premiums are too high. Any help?
A: Ask about Medicare Savings Programs that help pay Part B premiums (https://dss.sd.gov/medicaid/). For prescriptions, check Extra Help (https://www.ssa.gov/benefits/medicare/prescriptionhelp/). SHIINE can help you compare options (https://shiine.net/).

Q5) I need in-home help (bathing, meals, housework). Who do I call?
A: Call Dakota at Home (1-833-663-9673, https://dakotaathome.org/) or review SD LTSS services (https://dhs.sd.gov/ltss/). You may qualify for in-home services or caregiver support.

Q6) I lost food during a long power outage. Can SNAP replace it?
A: If you get SNAP, you may be able to request replacement benefits after a disaster or extended outage. Contact SD DSS SNAP right away (https://dss.sd.gov/economicassistance/snap/). Keep a copy of your outage notice if available.

Q7) How do I get help repairing my home after storm damage?
A: If a federal disaster is declared, apply at DisasterAssistance.gov (https://www.disasterassistance.gov/). For low-income rural homeowners, USDA Section 504 may help with hazard repairs (https://www.rd.usda.gov/programs-services/single-family-housing-repair-loans-grants). Weatherization can address energy-related issues (https://www.energy.gov/scep/wap/weatherization-assistance-program-south-dakota).

Q8) What property tax relief exists for seniors in South Dakota?
A: See the SD Department of Revenue’s property tax relief programs (such as the Assessment Freeze) and apply through your county (https://dor.sd.gov/individuals/taxes/property-tax/). Deadlines apply—check the current year’s date on the official site.

Q9) I live on a reservation. Do I apply through the state or the tribe?
A: Often both. Check tribal Title VI (ACL directory: https://olderindians.acl.gov/), IHS for health (https://www.ihs.gov/greatplains/), and state programs like LIHEAP (https://dss.sd.gov/economicassistance/energyassistance/) and Medicaid (https://dss.sd.gov/medicaid/).

Q10) Is there still a federal internet discount?
A: The Affordable Connectivity Program (ACP) funding lapsed in 2024. Check the FCC page for updates (https://www.fcc.gov/acp). Lifeline remains available (https://www.lifelinesupport.org/).

Q11) How can I get a ride to the doctor in winter?
A: If you have Medicaid, ask about NEMT (https://dss.sd.gov/medicaid/). Otherwise, call 211 to locate local transit or volunteer rides. Book early, ask about weather policies, and keep backup plans.

Q12) Who can help me choose a Medicare plan or fix a billing issue?
A: Contact SHIINE for free, unbiased Medicare counseling (https://shiine.net/). They can help compare plans, check Extra Help, and address billing questions.


More Program Tables (Handy Reference)

Table: Food and Nutrition

Program What it provides Where to check
SNAP Monthly EBT food benefits SD DSS SNAP: https://dss.sd.gov/economicassistance/snap/
Senior Meals (OAA) Congregate and home-delivered meals SD LTSS programs: https://dhs.sd.gov/ltss/
CSFP Senior Boxes Monthly USDA food box for eligible seniors USDA CSFP State Contacts: https://www.fns.usda.gov/csfp/contacts
Food Pantries/Mobile Local pantries and mobile distributions Feeding South Dakota – Find Food: https://www.feedingsouthdakota.org/find-food

Table: Safety, Rights, and Support

Topic Service Where to go
Nursing home/assisted living issues Long-Term Care Ombudsman SD LTSS: https://dhs.sd.gov/ltss/
Abuse/neglect/exploitation Adult Protective Services SD LTSS: https://dhs.sd.gov/ltss/
Mental health crisis 988 Lifeline https://988lifeline.org/
Consumer scams SD Attorney General – Consumer Protection https://atg.sd.gov/Consumers/Default.aspx

Tips to Avoid Delays

  • Write down every call: date, time, who you spoke with, and next steps.
  • Ask for a list of documents before you apply.
  • If online forms are hard, ask about paper or phone applications. Libraries and senior centers often help with printing and scanning.
  • If you don’t qualify for one program, ask, “What else might help?” and call 211.

Resources (Official and Trusted)


Disclaimer

Program rules, eligibility, funding levels, phone numbers, and websites can change. Always confirm details with the official agency or program website linked in this guide. If you find an error or a broken link, please tell us so we can fix it.


About This Guide

by the GrantsForSeniors.org Editorial Team

The GrantsForSeniors.org editorial team has been building benefit and assistance resources for seniors nationwide since 2020. We research programs across all 50 states by reviewing government websites, checking agency updates, and gathering information from available sources.

Our Commitment to You:
• Experience & Expertise: The information in this guide is compiled and reviewed by a team with experience in senior services and financial aid programs. We are committed to sharing our knowledge to help you find the support you need.
• Authority & Trust: We rely on verified sources, including government agencies, non-profit organizations, and official program websites, to ensure the accuracy of our content. Our goal is to be a trusted authority you can rely on for credible information.
• Clarity & Accessibility: We understand that seeking financial assistance can be challenging. This guide is designed to be clear and easy to understand, breaking down complex topics into actionable steps.

While we work hard to provide the most accurate information available, please note that program details and eligibility requirements can change. We recommend always checking with the official program source or agency website for the most current information, as we are not official agencies but rather compile available information.

• Last Updated: August 2025
• Sources Verified: August 2025
• Next Review: February 2026

If you find outdated information, discover new resources, or have questions, please contact us at info@grantsforseniors.org. We’re here to help seniors find resources that can make a real difference in their daily lives.