SOUTH CAROLINA DEPARTMENT OF

HEALTH AND HUMAN SERVICES

MEDICAID POLICY AND PROCEDURES MANUAL

Section 100	General Information
Chapter 101	Administrative Requirements
Chapter 102	Non-Financial Requirements
Chapter 103	Program Financial Limits
Chapter 104	Appendix
Chapter 105	Eligibility Tools
Section 200	MAGI Related Programs
Chapter 201	MAGI Introduction
Chapter 202	MAGI Household Composition
Chapter 203	MAGI Income and Budgeting
Chapter 204	MAGI Eligibility Categories
Chapter 205	Transitional Medicaid Assistance - TMA
Chapter 206	MAGI Appendix A - Definitions, Forms and Acronyms
Chapter 207	MAGI Appendix B - Application Process
Section 300	Supplemental Security Income (SSI) Related Programs - Liberalized
Chapter 301	SSI Liberalized Income Policy
Chapter 302	SSI Liberalized Resource Policy
Chapter 303	Aged, Blind and Disabled (ABD) Qualified Medicare Beneficiaries (QMB) Specified Low Income Medicare Beneficiaries (SLMB) Qualifying Individuals (QI)
Chapter 304	Nursing Home (NH) Home and Community Based Services (HCBS) General Hospital (GH)
Chapter 305	TEFRA (Katie Beckett)
Chapter 306	Reserved for Future Use
Chapter 307	Working Disabled (WD)
Chapter 308	Qualified Disabled Working Individuals (QDWI)
Section 400	Supplemental Security Income (SSI) Related Programs - Strict
Chapter 401	SSI Strict Income Policy
Chapter 402	SSI Strict Resource Policy
Chapter 403	Optional State Supplementation (OSS)
Chapter 404	Pass-Along
Chapter 405	Retroactive Medicaid for SSI Recipients
Chapter 406	Essential Spouse
Section 500	Other Medicaid and DHHS Programs
Chapter 501	Breast and Cervical Cancer Program (BCCP)
Chapter 502	Title IV-E Foster Care and Adoption
Chapter 503	Refugee Assistance Program (RAP)
Chapter 504	Tuberculosis Services
Section 600	Presumptive Eligibility
Chapter 601	Presumptive Eligibility Policy
Section 700	Temporary Eligibility Policy
	Guidelines for Processing Reviews - MAGI
	Guidelines for Processing Reviews - Non-MAGI
Chapter 701	Presumptive Disability - PILOT PROJECT ONLY
Chapter 702	COVID-19 Public Health Emergency Policy and Procedures
Section 800	Office of Civil Rights & Privacy
Chapter 801	Office of Civil Rights & Privacy
Chapter 802	Civil Rights of Applicants and Beneficiaries
Chapter 803	Complaint Process

Eligibility Processing Resources The following links connect to resources and tools used by eligibility specialists to process Medicaid.
	Training Materials Portal-MAGI
	Training Materials Portal for Non-MAGI
	OnBase Job Aids
	Forms and Manual Notices
	Eligibility Workbooks
	CGIS Procedure Manual
	Determining System of Record Job Aid
	WMS to Curam Tasks for MAGI Quick Reference
	WMS to Curam Tasks for Non-MAGI Quick Reference
	WMS to Curam CGIS Tasks for LTC Quick Reference
	WMS to Curam CGIS Tasks for BCCP.TEFRA
	CGIS Pending Applications Needing Other Services
	Guidelines for Moving SOR from CGIS to MEDS
	EEMS Service Manager Guidelines
	Service Manager Ticket Submission Guide
	OnBase Review of Tracking Forms
	Curam Application and OnBase Workflow

Medically Indigent Assistance Program (MIAP) This is a non-Medicaid program. SCDHHS has the responsibility to maintain the manual to be used by county governments and their designees to administer MIAP. The policies in this manual must not be used for Medicaid.
	MIAP Manual