The South Carolina Department of Health and Human Services administers Medicaid, South Carolina's grant-in-aid program by which the federal and state governments share the cost of providing medical care for needy persons who have low income. Medicaid was authorized by Title XIX of the Social Security Act that was signed into law by the President on July 30, 1965. Congress has continually changed the Medicaid Program since it was created. South Carolina began participation in the Medicaid Program in July 1968 under the South Carolina Department of Health and Human Services Finance Commission. It was renamed the South Carolina Department of Health and Human Services in 1995.

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  • South Carolina Department of Health and Human Services carry forward proviso report (33.16) 

    South Carolina Department of Health and Human Services (South Carolina State Library, 2021-08-13)
    The Department of Health and Human Services is authorized to carry forward and expend any general fund balance and any cash balances from the prior fiscal year into the current fiscal year. This is a description of those ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2021-08-01)
    The purpose of this manual is to provide pertinent information on physicians services and includes information on South Carolina Medicaid policies for general medical care, such as, office exams. This manual provides a ...
  • Hospital services provider manual 

    South Carolina Department of Health and Human Services (2021-09-01)
    The purpose of this manual is to provide pertinent information on hospital services. In order to receive Medicaid reimbursement for services, hospitals must meet the program requirements outlined in this manual. This manual ...
  • Clinic services provider manual 

    South Carolina Department of Health and Human Services (2020-07-01)
    The purpose of this manual is to provide pertinent information on clinic services which are described as preventive, rehabilitative, or palliative services that are furnished by a facility that is not part of a hospital, ...
  • Medicaid bulletin #21-008 

    South Carolina Department of Health and Human Services (South Carolina State Library, 2021-09-01)
    The South Carolina Department of Health and Human Services publishes Medicaid Bulletins to clarify existing policies or explain new policies of the Medicaid program.
  • Licensed independent practitioner's (LIP) rehabilitative services provider manual 

    South Carolina Department of Health and Human Services (2021-04-15)
    Rehabilitative Services are medical or remedial services that have been recommended by a Physician or other Licensed Practitioner of the Healing Arts within the scope of their practice under South Carolina State Law and ...
  • Local education agencies (LEA) services provider manual 

    South Carolina Department of Health and Human Services (2021-05-01)
    The South Carolina Department of Health and Human Services provides Medicaid reimbursement for medically necessary services provided to Medicaid-eligible individuals in the Local Education Agency. Medical Necessity means ...
  • Medicaid bulletin #21-007 

    South Carolina Department of Health and Human Services (South Carolina State Library, 2021-07-30)
    The South Carolina Department of Health and Human Services publishes Medicaid Bulletins to clarify existing policies or explain new policies of the Medicaid program.
  • Medicaid bulletin #21-006 

    South Carolina Department of Health and Human Services (South Carolina State Library, 2021-07-08)
    The South Carolina Department of Health and Human Services publishes Medicaid Bulletins to clarify existing policies or explain new policies of the Medicaid program.
  • Provider administrative and billing manual 

    South Carolina Department of Health and Human Services (2021-06-01)
    This manual is to be used for program information and requirements, billing procedures and provider services guidelines. The manual is organized as follows: General information and administration, Policies and procedures, ...
  • Rehabilitative behavioral health services (RBHS) provider manual 

    South Carolina Department of Health and Human Services (2021-07-01)
    This manual is to be used for program information and requirements, billing procedures and provider services guidelines. The manual is organized as follows: General information and administration, Policies and procedures, ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2021-07-01)
    The State of South Carolina (South Carolina or State) Medicaid program recognizes professional medical services that are medically necessary, unless limitations are noted within the Other Service Limitations section of ...
  • Community mental health (CMH) services provider manual 

    South Carolina Department of Health and Human Services (2021-07-01)
    The purpose of this manual is to provide pertinent information to community mental health service providers for successful participation in the South Carolina Medicaid program. This manual provides a comprehensive overview ...
  • Community long-term care provider manual 

    South Carolina Department of Health and Human Services (2021-07-01)
    The mission of Long-Term Living is to provide a cost-effective alternative to institutional placement for eligible clients with long term care needs, if they choose, allowing them to remain in a community environment. This ...
  • Medicaid bulletin #21-005 

    South Carolina Department of Health and Human Services (South Carolina State Library, 2021-06-14)
    The South Carolina Department of Health and Human Services publishes Medicaid Bulletins to clarify existing policies or explain new policies of the Medicaid program.
  • Dental services provider manual 

    South Carolina Department of Health and Human Services (2021-07-01)
    The purpose of this manual is to provide pertinent information to dental health service providers for successful participation in the South Carolina Medicaid program. This manual provides a comprehensive overview of the ...
  • Medicaid bulletin #21-004 

    South Carolina Department of Health and Human Services (South Carolina State Library, 2021-06-03)
    The South Carolina Department of Health and Human Services publishes Medicaid Bulletins to clarify existing policies or explain new policies of the Medicaid program.
  • Rehabilitative behavioral health services (RBHS) provider manual 

    South Carolina Department of Health and Human Services (2021-04-15)
    This manual is to be used for program information and requirements, billing procedures and provider services guidelines. The manual is organized as follows: General information and administration, Policies and procedures, ...
  • Medicaid targeted case management (MTCM) provider manual 

    South Carolina Department of Health and Human Services (2021-04-01)
    Medicaid Targeted Case Management (MTCM) is a means for achieving beneficiary wellness through communication, education and service(s) identification and referral. MTCM is a time-limited process that provides an organized ...
  • Autism spectrum disorder (ASD) services provider manual 

    South Carolina Department of Health and Human Services (2021-04-01)
    Services to treat Autism Spectrum Disorder, as defined in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders, are provided to eligible Medicaid beneficiaries ages 0 to 21. This manual lists ...

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