What is Medicaid?
Medicaid is South Carolina’s aid program by which the federal and state governments share the cost of providing medical care for people who meet certain eligibility criteria. The Medicaid program is administered by the South Carolina Department of Health & Human Services (SCDHHS). To learn more about eligibility, how to apply and to access forms and applications, visit the SCDHHS website and select the “Getting Medicaid” tab. Then select from the drop down menu.
To apply online from the SC DHHS homepage, visit this Apply for South Carolina Medicaid webpage.
To learn more about how Family Connection can help, call our Family Information Center at 1-800-578-8750.
Medicaid Eligibility Categories
*This is a partial listing. Visit SCDHHS’ Getting Start page for a full listing.
Partners for Healthy Children is for children under age 19 in families with low incomes. Coverage is reviewed and renewed annually.
TEFRA/Katie Beckett is a category of eligibility for Medicaid coverage for children under age 19 who meet the Supplemental Security Income (SSI) childhood disability definition and level of care and can be provided care at home more economically than in a hospital or community home. This eligibility is based on the child’s income and resources, not family income.
Download the TEFRA Application Packet.
Aged, Blind and Disabled (ABD) is an eligibility category for individuals age 65 or older who are blind or disabled and have low income.
Supplemental Security Income (SSI) pays benefits to children and adults who are blind or disabled and have limited income and resources. If determined eligible for SSI, the child or adult will be automatically eligible for Medicaid.
Choosing a Medicaid Health Plan
Healthy Connections Choices –the health plan selection website for South Carolina Healthy Connections Choices. South Carolina Healthy Connections Choices is a program that helps eligible Medicaid members enroll in health plans. Here you can:
• Choose a health plan and doctor.
• Review and update your information.
• Compare health plans.
• Find a doctor.
• Watch video clips and find materials that help you choose a health plan and doctor.
• Find meetings in your area to learn more about the health plans.
Other SCDHHS Programs for Families Enrolled in MedicaidHealth Insurance Premium Payment (HIPP) Program
The HIPP Program was created to assist families of Medicaid beneficiaries with the cost of health insurance that covers the client. The goal is to help beneficiaries maintain their private insurance to ensure Medicaid payment as a last resort. Private plans pay first for medical services and Medicaid is secondary. A program brochure, questions and answers , and the referral form are available on the website. The referral form must be printed, completed and submitted to the address on the form.