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SD DMH - Indigent Medication Program

The Division of Mental Health (DMH) Indigent Medication Program assists individuals with mental illness who have exhausted all other assistance options and cannot afford to purchase their needed psychotropic medications and/or their necessary lab analyses.

Individuals are considered to have a mental illness if they are diagnosed to have schizophrenia, mood, paranoid, panic or other severe anxiety disorder, somatiform disorder, personality disorder, other psychotic disorder, or other mental disability that may lead to a chronic disability, as defined in the DSM-IV-TR.

NOTE: Due to the numerous referrals from the community mental health centers and consumers and/or family members of consumers who are looking for assistance with the costs of psychotropic medications, DMH cannot guarantee that all the individuals who apply for this program will be assisted.

Program Components

The Indigent Medication Program is divided into 2 parts:

·      The first part is a time-limited assistance program to be used until other resources can be found.

·      The second part involves longer-term assistance. DMH has subscribed to the Indicare Pharmaceutical Assistance website, which provides information about pharmaceutical assistance programs - how to apply and what drug products their programs cover. Note that not all medications have an assistance program available.

Eligibility - Short-term Program

Eligibility for the short-term program is limited to financially needy individuals with mental illness who are ineligible for Medicaid and:

·      Who are maintained in the community under a forced medication order; or

·      Who are referred by Community Mental Health Centers, and who are actively participating in treatment, rehabilitation, and/or support services, and who do not have a supplemental or health insurance policy which covers prescription medications; or

·      Who are on a waiting list to receive services from a Community Mental Health Center and who do not have a supplemental or health insurance policy which covers prescription medications; or

·      Who were discharged from the Human Services Center within the past 6 months, and who will be receiving services from a mental health provider other than a Community Mental Health Center, and who do not have a supplemental or health insurance policy which covers prescription medications.

Preference is given to persons who:

·      Are frequently hospitalized and/or suffer frequent crises due to lack of personal funds to purchase medications,

·      Have been denied by pharmaceutical company's indigent medication programs or who's pharmaceutical indigent funding or Medicaid application is "pending".

Eligibility - Longer-term Program

Eligibility for the longer-term program is limited to financially needy individuals with mental illness who are ineligible for Medicaid, who do not have a supplemental or health insurance policy which covers prescription medications, and:

·      Who are on a waiting list to receive services from a Community Mental Health Center; or

·      Who were discharged from the Human Services Center within the past 6 months, and who will be receiving services from a mental health provider other than a Community Mental Health Center.

Source:

http://www.state.sd.us/dhs/dmh/IndigentMedPage.htm

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Division of Mental Health - Overview

Department of Human Services - Overview

Welcome and Introduction to the South Dakota Benefits Information System

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