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1 Demonstration Approval: November 1, 2023, through October 31, 2028 CENTERS FOR MEDICARE & MEDICAID SERVICES EXPENDITURE AUTHORITY

NUMBER: 11-W-00319/8

TITLE:

South Dakota Former Foster Care Youth

AWARDEE: South Dakota Department of Social Services

Under the authority of section 1115(a)(2) of the Social Security Act (the Act), expenditures made by South Dakota for the items identified below, which are not otherwise included as expenditures under section 1903 of the Act shall, for the period of this demonstration, be regarded as expenditures under the state’s title XIX plan. All requirements of the Medicaid statute will be applicable to such expenditure authorities, except those specified below as not applicable to these expenditure authorities.

The following expenditure authority shall enable the state to operate its Former Foster Care Youth section 1115 Medicaid demonstration through October 31, 2028 and also assists the state with meeting the intended Medicaid program objectives of this demonstration, which are to increase and strengthen overall coverage of former foster care youth and improve health outcomes for this population.

Title XIX Expenditure Authority

Expenditures to extend eligibility for full Medicaid state plan benefits to former foster care youth who are under age 26, who turned 18 on or before December 31, 2022, who were in foster care under the responsibility of another state or tribe on the date of attaining 18 years of age (or such higher age as the state has elected for termination of Federal foster care assistance under title IV- E of the Act), were enrolled in Medicaid on the date of aging out of foster care, and are now applying for Medicaid in South Dakota.