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

 

Chapter 106

SCDHHS BPR Handbook

 

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

 

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

Civil Rights Division

Chapter 801

Civil Rights Division

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 for New Applications Job Aid

 

 

Quick Reference for HCR MAGI Tasks in PathOS

 

 

CGIS Pending Applications Needing Other Services

 

 

 

 

 

 

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