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South Carolina

South Carolina Medicaid Application Guide

South Carolina Healthy Connections Medicaid · DHHS Form 3400

Content verified 2026-07-17T17:39:35.249Z

Medicaid Asset Protection & Spend-Down MilestonesGoverned Protocol
160-Month Lookback Guard

All asset transfers and gifts within 5 years are audited under state lookback statutes.

2Exempt vs. Countable Assets

Primary home equity, one vehicle, and personal effects remain protected under community spouse allowances.

3Miller Trust / QIT Path

Excess income in income-cap states is redirected into a Qualified Income Trust to preserve qualification.

Program overview

South Carolina Healthy Connections Medicaid is a medical assistance program that helps pay for some or all medical bills for many people who cannot afford medical care, providing health coverage for eligible residents of South Carolina. Eligibility is usually based on applicants' income and assets, with people who are usually eligible including pregnant women, children, elderly individuals, people with disabilities, and parents of minor children.

Because South Carolina hasn't expanded Medicaid, the state's Medicaid population consists of low-income people who are children, elderly, disabled, pregnant, or parents of minor children - adults who don't fit into one of these categories are not eligible for coverage, no matter how low their income is. For elderly or disabled individuals, the monthly net income limit may not exceed $1,330 per month and individual resources must not exceed $2,000.

The online application is the easiest way to apply for South Carolina Medicaid. You'll need to reapply every year for Healthy Connections Medicaid coverage. Generally, it takes up to 45 days for Healthy Connections to determine eligibility, though determination times can increase for certain applicant categories.

Key considerations for applicants include gathering all required documentation before applying, understanding that South Carolina uses managed care plans for most Medicaid recipients, and being aware that you can receive assistance with the application process. If you need assistance filling out the application, SC Thrive can help and can provide an assessment of your household's most likely health coverage options. For additional help, you can visit SCDHHS.gov or call 1-888-549-0820.

Main application form

Application for Medicaid and Affordable Health Coverage

Form DHHS Form 3400

Download form

Additional forms

  • Additional Information Form · DHHS Form 3400-A

    Supplemental form for additional income and household information

    Download form →
  • Authorized Representative Form · DHHS Form 1282

    Authorization for someone to handle application on your behalf

    Download form →

Where to submit

Applications can be mailed to SCDHHS-Central Mail, P.O. Box 100101, Columbia, SC 29202-3101, submitted online at apply.scdhhs.gov, or delivered to your local county eligibility office.

Read guide

South Carolina's Healthy Connections Medicaid provides health coverage for eligible low-income residents including children, pregnant women, elderly individuals, people with disabilities, and parents. To apply, you can use the online application at apply.scdhhs.gov, which is the easiest method, or download Form 3400 from the SCDHHS website. You'll need documents like proof of identity, Social Security cards, income verification, and residency proof. The application process typically takes up to 45 days. If you need help, call 1-888-549-0820 or get assistance from SC Thrive. Remember, you must reapply annually to maintain coverage.

Official resources

Related guides

Frequently Asked Questions

How do I apply for South Carolina Healthy Connections Medicaid in South Carolina?

To apply for South Carolina Healthy Connections Medicaid in South Carolina, complete Application for Medicaid and Affordable Health Coverage (DHHS Form 3400), then submit it to Applications can be mailed to SCDHHS-Central Mail, P.O. Box 100101, Columbia, SC 29202-3101, submitted online at apply.scdhhs.gov, or delivered to your local county eligibility office..

What documents do I need to apply for South Carolina Healthy Connections Medicaid in South Carolina?

You typically need to provide: Proof of identity (driver's license, state ID, or passport), Social Security cards for all applicants, Proof of South Carolina residency, Birth certificates for children under 19, Recent pay stubs or employment verification, Bank statements for all accounts, Tax returns or tax transcript, Health insurance cards (if currently insured), Immigration documents (if applicable), Medical bills or disability documentation (if applicable), Child support orders or court documents (if applicable), Proof of pregnancy (if applicable).

Where do I submit my South Carolina Healthy Connections Medicaid application in South Carolina?

Submit your completed South Carolina Healthy Connections Medicaid application to Applications can be mailed to SCDHHS-Central Mail, P.O. Box 100101, Columbia, SC 29202-3101, submitted online at apply.scdhhs.gov, or delivered to your local county eligibility office..

What is the main application form for South Carolina Healthy Connections Medicaid in South Carolina?

The primary application form is Application for Medicaid and Affordable Health Coverage (DHHS Form 3400). Download it from the official state website: https://www.scdhhs.gov/sites/dhhs/files/FM%203400.pdf

Where can I find official information about South Carolina Healthy Connections Medicaid in South Carolina?

Official information and application resources are available at SCDHHS Official Website: https://www.scdhhs.gov/

How we research and verify this information

Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.

Editorial review by John Richie, Senior Care Research Editor.

The Care Decision Podcast · Episode 2 & Printable Cost Checklists

Real Care Cost Breakdown: Audio Guide & Printable Tour Checklists

Base rent is rarely the final monthly invoice. Stream Episode 2 (19 min) or click either reference card below to zoom, save, or print our tour pricing checklist and 3-bucket invoice funding blueprint.

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Episode 02 · 19:21 · Hosted by Maya & Daniel

What Does Memory Care Actually Cost?

Assisted living base rent ($5,900–$6,250/mo) vs. memory care ($6,500–$8,500+/mo), level-of-care add-ons, and tour questions.

Tour Pricing Checklist · Ep 2 Assisted Living vs. Memory Care Cost Breakdown (Ep 2)
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Funding Stack Blueprint · Ep 3 The 3-Bucket Invoice Split ($6,200/mo Gap · Ep 3)
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📝 Open Interactive 5-Question Facility Tour Worksheet & 24-Month Calculator (Printable) Expand ↓
Interactive Facility Tour Scorecard

5-Question Tour Worksheet & 24-Month Survival Calculator

Fill in the numbers quoted during your tour to calculate the 2-year total at the next care tier up, then print a 1-page scorecard.

Day-1 Monthly (Base + Meds)

$7,140/mo

Year-2 Monthly (Next Tier Up)

$8,390/mo

24-Month Total at Next Tier Up

$199,774

🧮 Open Interactive 3-Bucket Monthly Gap & Six-Doors Benefit Calculator (Ep 3 · Printable) Expand ↓
Interactive 3-Bucket Funding Stack · Ep 3

3-Bucket Monthly Gap & Six-Doors Benefit Stacker

Split the community quote into Room & Board (Bucket 1) and Personal Care/ADLs (Bucket 2) to see how Social Security, VA Aid & Attendance, LTC insurance, and state Medicaid HCBS waivers reduce your net monthly gap.

Net Monthly Family Gap (After Benefits)

$4,129/mo

Total Invoice: $6,200/mo · Covered: $2,071/mo

90-Day Elimination / Approval Bridge

$12,387

Home Care + Adult Day pacing ($3,120/mo) saves $9,240 over 90d

24-Month Net Family Out-of-Pocket

$99,096

Bucket 3 Clinical & Part D ($2,400 Rx cap) stays on Medicare

Card 1 / 1

Printable Family Reference Card

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