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Medical assistance programs include: ​Children's Health Insurance Program (CHIP): Coverage includes such things as doctor, hospital, prescription drugs, counseling, dental and glasses. Insurance for children up to age 19 at no cost to the family if the income is below certain income levels found on the Federal Poverty Guidelines. If the family income is below 140%, the children may be eligible with or without private health insurance. If there is insurance, CHIP will pay the deductibles, co-insurance, and possibly some medical services not covered by the private insurance. ​Medicaid: Health care coverage for people who qualify. To be eligible for Medicaid, individuals must fall into a coverage group and meet certain financial and non-financial eligibility criteria. Provides help for older adults and people with disabilities.

Auditor services include auditing of all financial records of the County, apportioning of taxes collected by the Treasurer to be disbursed to the schools, cities, and other special assessment entities, County accounts payable, accounts receivable, payroll, budgets, and tax levy, beer and liquor licensing, County liens, recorder of the minutes for the Board of County Commissioners, and maintains all voter records. Notary Public services available. Some fees may apply. Administers all elections at the county level or above Based on eligibility guidelines, Welfare services include medical assistance, utilities assistance for disconnect notices on heating bills, and burial and funeral assistance.

ICAP Emergency Services helps with emergency utilities and rent (Not available to those residing in Sioux Falls) for income qualified households. Must meet all requirements. Also offers food pantry vouchers to those who qualify.

Provides outpatient mental health services to those 12 and up. Works with a variety of disorders/concerns: anxiety, mood disorders, depressive disorders, trauma related disorders, adjustment disorders, personality disorders, crisis intervention, and/or marital/family distress. Offers a variety of therapeutic methods to meet client's where they are and assist in helping them reach their goals.

Offers over 30 specialties including: child abuse, pediatric genetics, cardiology, critical care, developmental, emergency medicine, endocrinology, gastroenterology, hospitalist, hematology and oncology, infectious disease, neonatology, nephrology, neurology, orthopedics, palliative care, psychiatry, psychology, pulmonology, radiology, rehabilitation, rheumatology, sleep medicine, surgery, and urology. Also provides CHILD services, genetic counseling, immunizations, diabetes education, nutrition, and travel medicine.

Provides pharmacy services including: immunizations and vaccines, prescription refills, transfers, and disposal sites; pet Medications, Medicare assistance.

Services include emergency care, 24-hour ambulance services, urgent care, surgical, obstetrics, dental, vision, diabetic clinic, pharmacy, prescription assistance, Women's Health, and immunization clinics. Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS.

• Telehealth Services - By appointment only

Nephrology - Twice a month by appointment Audiology - Once a month by appointment Same Day Surgery - By appointment Physical Therapy - 8:00am to 5:00pm Daily Behavioral Health - 8:00am to 5:00pm

Providing free lunch for children 18 years old or younger. Meals on Wheels Western South Dakota are funding lunch at no charge for seniors (60+) accompanying their grandchildren. ​The Black Hills Area Community Foundation will fund lunch for adults (19-59 years old) accompanying their children. Meals are either a hot or cold lunch including a grain, protein, fruit/vegetable, and milk. This institution is an equal opportunity provider. All sites will be closed Wednesday, July 1 - Friday, July 3rd, 2026. Please note: sites and times may change with little notice due to weather, participation, or other circumstances. Updates and menus are available on the website.

Pharmacy services include immunizations, prescription refills, health screenings, and a medication disposal drop box. - Medication disposal drop-boxes for expired, unused or unwanted controlled, non-controlled, and over the counter medications, including pet medications. Items that are NOT accepted include: trash, regulated medical waste, sharps, syringes, thermometers, hazardous waste, aerosols, illicit drugs, or commercial waste.

Offers food and personal hygiene products as available to the community.

Provides Public Health Nursing and Maternal Child Healthcare Services through various programs. General public health services include professional nursing and nutrition information and guidance on health, safety, and nutrition for individuals, families, and communities. Services such as influenza vaccinations and screenings for blood pressure, hearing, vision, and hemoglobin are available at a fee. Maternal Child Healthcare provides Infant Sleep Safety services, immunizations, and pregnancy support services. Infant Sleep Safety services provide education on infant safe sleep practices and link families to resources when the purchase of a crib is a financial hardship. ​Immunizations services are available for children from birth through age 18 for all universally recommended vaccinations including influenza. The Vaccines for Children's Program provides vaccines for children who are uninsured, have insurance that does not cover vaccinations, are Medicaid eligible, or are Native American or Alaskan Native. For families with insurance coverage, the Department of Health is an in-network provider for Sanford, Avera/Dakotacare, and Blue Cross/Blue Shield. ​Pregnancy Support Services include regular visits with a nurse to share information about pregnancy, to provide assistance in obtaining early and on-going prenatal care from a qualified healthcare provider, and to link women to resources they may need to support a healthy pregnancy. Teaching topics may include: how your body is changing and how your baby is growing; eating healthy and gaining the right amount of weight; warning signs or symptoms that indicate you should contact your doctor; breastfeeding education and support; and caring for you and your baby after delivery. The Watertown and Sisseton locations are also able to provide car seats for all ages at no cost.

The Department of Human Services Guardianship Program provides guardianship and/or conservatorship services as a last resort to qualified individuals age 18 or older with an intellectual or developmental disability as defined in SDCL 27B-1-18 or qualified individuals in the Long Terms Services and Supports program. The South Dakota Department of Human Services may be appointed as a guardian, a conservator, or both, for adults with developmental disabilities under its care or to whom it is providing services or financial assistance, but only if there is no individual, nonprofit corporation, bank or trust company, or other public agency that is qualified to serve, as defined in SDCL 29A-5-110, or qualified individuals in the Long Terms Services and Supports program. The department also provides financial assistance for qualified individuals who are willing and qualified to serve as a guardian and/or conservator of up to $1,500.00 for the establishment of a guardianship or conservatorship through the Guardianship Establishment Program. Limited amount of funds for this program are available each year on a first come first served basis for qualified individuals.

A youth organization that provides a safe place for kids to go after school and during the summer on week days. Members participate in a variety of activities such as homework help/tutoring, organized sports programs, Youth for Unity, Teen Center, and guided activities on character and leadership, education and career skills, and healthy living/active lifestyles. Snacks are provided.

Provides Public Health Nursing and Maternal Child Healthcare Services through various programs. General public health services include professional nursing and nutrition information and guidance on health, safety, and nutrition for individuals, families, and communities. Services such as influenza vaccinations and screenings for blood pressure, hearing, vision, and hemoglobin are available at a fee. Maternal Child Healthcare provides Infant Sleep Safety services, immunizations, and pregnancy support services. Infant Sleep Safety services provide education on infant safe sleep practices and link families to resources when the purchase of a crib is a financial hardship. ​Immunizations services are available for children from birth through age 18 for all universally recommended vaccinations including influenza. The Vaccines for Children's Program provides vaccines for children who are uninsured, have insurance that does not cover vaccinations, are Medicaid eligible, or are Native American or Alaskan Native. For families with insurance coverage, the Department of Health is an in-network provider for Sanford, Avera/Dakotacare, and Blue Cross/Blue Shield. ​Pregnancy Support Services include regular visits with a nurse to share information about pregnancy, to provide assistance in obtaining early and on-going prenatal care from a qualified healthcare provider, and to link women to resources they may need to support a healthy pregnancy. Teaching topics may include: how your body is changing and how your baby is growing; eating healthy and gaining the right amount of weight; warning signs or symptoms that indicate you should contact your doctor; breastfeeding education and support; and caring for you and your baby after delivery. The Watertown and Sisseton locations are also able to provide car seats for all ages at no cost.

Builds homes for people in need: Habitat for Humanity builds houses in partnership with volunteers and people in need and then sells the homes to those people in need, known as partner families. Partner families are selected by Habitat based on: their need for housing; their willingness to partner with Habitat; and the ability to pay a 0% interest mortgage. Assists in restoration on exterior of existing homes for people in need: Volunteers (including youth groups), are organized and recruited by Hub Area Habitat for Humanity to assist with the following projects for income eligible homeowners including: Exterior painting or siding, Minor exterior home repairs, or Yard work including: weeding, trimming shrubbery, raking leaves (yard rehabilitation, not lawn mowing). This does not include tree trimming of taking down a tree. Help Build It Center: a store where items can be donated and purchased at discounted prices. Items consist of: light fixtures, bathroom fixtures, furniture, appliances, carpet, wood and tile flooring, windows and doors, paints and stains and other miscellaneous home goods.

A public health nutrition program for income-eligible infants and children up to age 5, pregnant, postpartum, and breastfeeding women. WIC provides nutrition education to help make healthy eating choices, breastfeeding education for expectant and new mothers looking to learn more about their infant nutrition options, referrals to connect families with quality medical care and other community services, and food benefits to help families purchase nutritious groceries at participating businesses statewide.

Option 1 does not perform or refer for abortions. ​​Each legal, zero-cost appointment includes: abortion Information, medical-grade pregnancy test, limited ultrasound (if applicable), gonorrhea and chlamydia test (with positive pregnancy test), and pregnancy options.

Pharmacy services include immunizations, prescription refills, health screenings, and a medication disposal drop box. - Medication disposal drop-boxes for expired, unused or unwanted controlled, non-controlled, and over the counter medications, including pet medications. Items that are NOT accepted include: trash, regulated medical waste, sharps, syringes, thermometers, hazardous waste, aerosols, illicit drugs, or commercial waste.

Provide addictions assessments and mental health therapy to adolescents through adults. Community mental health center offering the following services: Moral Recognition Therapy (MRT) Group for adolescents and adults, Dialectical Behavioral Therapy (DBT), individual counseling, marriage and family counseling, psychotropic medication management, domestic violence evaluations and follow up services, psychiatric evaluations and medication management. Walk-in assessments are available at the Watertown and Sisseton locations. Also offers and telehealth services.

Works to increase identification of youth and families who have been exposed to traumatic stress and shorten the time it takes to get them into effective treatment programs. Offers free screenings to children who may be experiencing traumatic stress, and then, if information warrants, a full assessment will be scheduled. Youth and families who are identified as experiencing traumatic stress will be referred to appropriate treatment providers. Treatments available at YFS include: Trauma-focused cognitive behavioral therapy Child parent psychotherapy Equine Therapy Problematic sexual behavior-cognitive behavioral therapy Prolonged exposure therapy Dialectical behavior therapy (DBT) Integrative treatment for complex trauma Motivational interviewing Also assists community mental health providers' expansion of trauma-focused knowledge and skills through education, training, and collaboration.

Providing clients a safe place to grow strong through services including individual counseling, family counseling, marriage counseling, divorce counseling, grief/bereavement counseling, cognitive behavioral therapy (CBT), adolescent/youth counseling, complex PTSD counseling, and eye movement desensitization and reprocessing (EMDR).

Available to individuals or couples experiencing an unplanned pregnancy so that abortion is not needed because of financial reasons. Mother Teresa helps with expenses that community/county agencies do not provide assistance with such as rent, utilities, car payments, etc. An application is required and documentation of bills, insurance, and other assistance must be included. This fund is limited.

A public health nutrition program for income-eligible infants and children up to age 5, pregnant, postpartum, and breastfeeding women. WIC provides nutrition education to help make healthy eating choices, breastfeeding education for expectant and new mothers looking to learn more about their infant nutrition options, referrals to connect families with quality medical care and other community services, and food benefits to help families purchase nutritious groceries at participating businesses statewide.

Provides residential treatment services including: 24-hour psychiatric residential care in a therapeutic and structured environment; individual, group, and family counseling, campus school, psychiatric services, case management, after care services, and independent living skills training.

Services provided include: ambulatory clinic, laboratory, X-Ray, pharmacy, dental unit, public health nursing, diabetes care, fitness program, mental health services, and optometry services. Specialty care clinics available: cardiology, wound care, OBGYN Prescription Assistance - Enrolled members of a Native American tribe can get free prescriptions by visiting their local IHS.