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Medicaid Program - Partners for Healthy Children - South Carolina

The Partners for Healthy Children (PHC) program provides free health care, including medical and dental services, to children under age 19 in families with income below Family Independence Program (FIP) limits.

PHC is South Carolina's implementation of the Federal State Children's Health Insurance Program (SCHIP), also referred to as Title XXI. It provides Medicaid benefits to children who qualify.

Most children in foster care will be eligible in the PHC's coverage group. The individual must reside in a licensed foster home or other approved facility, be physically or emotionally disabled, and be a full time student.

Qualifying for PHC is based on the number of people in the family and household income. Both gross earned and unearned income must be reported. Income standards are based on 150% of Federal Poverty Guidelines.

This data was current as of 05/19/2006.

 

Partners For Healthy Children (PHC)
Coverage For Children Age 1 To 19
(150% of Poverty Level)

(Effective March 1, 2006)

Family Size

Monthly Income

Annual Income

1

$1,225

$14,700

2

$1,650

$19,800

3

$2,075

$24,900

4

$2,500

$30,000

5

$2,925

$35,100

6

$3,350

$40,200

NOTE: For each additional family member, add $5,100 to the annual income. Divide by 12 and round up to the next whole dollar for the monthly income.

 

If family income is more than the amounts on the chart above, children may still qualify. For each working parent who lives in the home, subtract $100 per month from the family income and then compare it monthly income limit on the chart. For children under 12 for which child care is paid, subtract $200 per month per child from the family income and then compare it to the chart.

Documents accepted as proof of earned income include:

      Copies of pay stubs or a signed statement from employer(s)

      Most recent federal income tax return, including a copy of Schedule C

      Unearned income requiring documentation includes educational grants/loans/scholarships, Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), and Railroad Retirement Benefits, Unemployment Benefits, Veterans (VA) Benefits, and Workers' Compensation.

For educational loans, a copy of the loan agreement, a receipt/statement from person making the loan, or award letters must be provided. For SSDI, SSI, Railroad Retirement Benefits, and Unemployment Benefits a copy of the award letter and a copy of the check is required. A copy of the award letter for Veterans Benefits is required. For Worker's Compensation, an attorney's statement, claims adjuster statement, copy of check, or Industrial, Commission award letter must be provided. Documentation is not needed for cash contribution loans, child support/alimony payments or lump sum payments that have been received.

PHC applications are available at doctor's offices, pharmacies, Department of Health and Environmental Control clinics, county Department of Social Services offices, and other locations.

Completed applications and proof of household income from the last four weeks are mailed to:

South Carolina Partners for Healthy Children
PO Box 100101
Columbia, South Carolina 29202-3101

Applications are generally processed within 30 days of receipt.

Additional Information

An application can also be mailed to you by calling 1-888-549-0820 or an application (in English or Spanish) may be downloaded from:
http://www.dhhs.state.sc.us/ResourceLibrary/forms.htm

Also see:

Medicaid Program - Mandatory Group Coverage

Medicaid Program - Optional Group Coverage

Medicaid Program - Non-Financial Eligibility

Medicaid Program - Financial Eligibility

Medicaid Program - Services

Medicaid Program - Overview

Source

http://www.dhhs.state.sc.us/dhhsnew/incomeLimitations.asp

http://www.cms.hhs.gov/schip/stateplans/chipsc.asp?state=sc


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