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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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