Section 100

General Information


Chapter 101

Administrative Requirements


Chapter 102

Non-Financial Requirements


Chapter 103

Program Financial Limits


Chapter 104



Chapter 105

Eligibility Tools


Chapter 106



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


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