South Carolina Medicaid Eligibility

This page provides general guidelines for the South Carolina Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is South Carolina Department of Health and Human Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the South Carolina Medicaid office.


South Carolina Medicaid Overview

Medicaid is for eligible persons who need help getting care and paying medical bills.


South Carolina Medicaid Eligibility Requirements - Non Income

The enrollee must be a U.S. citizen or legal alien and a South Carolina resident.


Documents Needed For South Carolina Medicaid Application


South Carolina Medicaid Benefits

Services include hospitalization, well child/adult appointments, lab and x-rays, doctor visits, vision, dental, prescription drugs, family planning, medical equipment, hospice, ambulance, transportation, nursing facility, inpatient psychiatric care, home health, physical and speech therapy, mental health, family support services, case management, behavioral health, home and community-based LTC services and more. It also offers intermediate care
facilities for the developmentally-challenged.


South Carolina Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for South Carolina Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,023
Age 1-5: $2,023
Age 6-18: $2,023
N/A Medicaid: N/A
CHIP: N/A
$603 $0

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,727
Age 1-5: $2,727
Age 6-18: $2,727
N/A Medicaid: $2,543
CHIP: N/A
$813 $0

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,430
Age 1-5: $3,430
Age 6-18: $3,430
N/A Medicaid: $3,199
CHIP: N/A
$1,022 $0

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $4,134
Age 1-5: $4,134
Age 6-18: $4,134
N/A Medicaid: $3,856
CHIP: N/A
$1,232 $0