Lap Band

My niece who is 43 years old and from South Dakota is interested in the lap band. She is on Medicaid, Lots of comorbidities, and also 200 lbs overwieght, but... not very mu*****ome. Is there some help in South Dakota she could get?? Any and all answers will be appreiciated. Medicaid is dragging their feet with this, her surgeon already has told surgery is about her last option . Rhonda 312/204/155??