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.
Medicaid Program - Optional Group Coverage
Medicaid Program - Services
Medicaid Program - Non-Financial Eligibility
Medicaid Program - Financial Eligibility
Medicaid Program - Overview
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