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Preventing additional respondent backlog
Smith-Byrd, Candice South Carolina Certified Public Manager Program
Smith-Byrd, Candice
South Carolina Certified Public Manager Program
Abstract
Potential Healthy Connections Medicaid beneficiaries must apply and be deemed eligible for Medicaid coverage in one of the qualifying categories. If someone is deemed eligible for Medicaid, case documents are reviewed periodically or when there is a change in circumstance, such as finances, marital status etc. to ensure the person continues to meet the Medicaid criteria for coverage. If a Medicaid applicant or beneficiary disagrees with an eligibility decision, such as does not qualify or no longer qualifies for benefits, he/she has the right to file an appeal. Currently there is a backlog of eligibility appeal cases, and the goal would be to have no backlog.
Issue Date
2022-02-07
Keywords
South Carolina Department of Health and Human Services, Medicaid--South Carolina, Medicaid--Claims administration--South Carolina
Type
Text
Rights
Copyright status determined to be in the public domain on April 27, 2020 by United States Supreme Court ruling (Georgia et al., Petitioners v. Public.Resource.Org, Inc. : 590 U.S.__(2020))
Digitization Specifications
This South Carolina State Document was either saved from a document available publicly online in PDF format or converted to PDF using Adobe Acrobat DC.