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Medicaid Program - Mandatory Group Coverage - South Carolina

Any individual or family in one of the following categories is eligible for Medicaid in South Carolina under the Federal mandatory coverage requirements.

· Supplemental Security Income (SSI) recipients and SSI with Essential Spouse Recipients

· Refugee Assistance Recipients

· Qualified Medicare Beneficiaries (QMB) with income under 100% of Federal Poverty Guidelines

· Specified Low Income Medicare Beneficiaries (SLMB)

· Pregnant Women and Infants with Income under 185% of Federal Poverty Guidelines

· Children age 1-18 (living in families with income below a certain percent of poverty)

· Title IV-E and Title IV-E Adoptions

· Reinstated Individuals

· Transitional Medicaid

· Ribicoff Children

· 1977 Pass-Alongs

· Sanctioned Family Independence Program (FIP) Individuals

· Low-income families with income below 50% of Federal Poverty Guidelines

Note that when a family becomes eligible for the Family Independence Program (FIP) (Temporary Aid to Needy Families [TANF] in South Carolina), they can apply for Medicaid. Currently, the income rules for Low Income Families and Medicaid and the income rules for TANF are the same; however, either could change independent of the other in the future.

NOTE: The Low Income Family limits cannot be more restrictive than limits under the rules of the old Aid to Families of Dependent Children program on July 16, 1996.

Also see:

Medicaid Program - Optional Group Coverage

Medicaid Program - Services

Medicaid Program - Non-Financial Eligibility

Medicaid Program - Financial Eligibility

Medicaid Program - Overview

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