South Carolina Medicaid
Healthy Connections
Apply or call
Healthy Connections covers pregnant women up to 199% of the federal poverty line — roughly $51,380 annual income for a family of three in 2025. The state has not adopted Medicaid expansion. Apply at https://apply.scdhhs.gov/ or call 1-888-549-0820.
On maternal health specifically: Healthy Connections has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and runs a Medicaid doula pilot reimbursing up to $1,000 per perinatal package (effective 2024-09-01).
South Carolina launched a 24-month Medicaid doula pilot in September 2024 under H 3592 (2023), reimbursing up to $1,000 per package in the Upstate, Midlands, and Lowcountry regions. Charleston Birth Place and Reaching Our Sisters Everywhere (ROSE) coordinate Black birth worker training.
Key facts at a glance
- Pregnant women eligible up to 199% FPL ($51,380 for a family of three in 2025).
- Children 0-5 eligible up to 213% FPL ($55,000 for a family of three).
- Parents eligible up to 67% FPL only — no expansion adult category.
- Doula reimbursement: $1,000 per full perinatal package.
- Postpartum Medicaid extended to 12 months (effective 2022-04-01).
South Carolina Medicaid, topic by topic
Eligibility
Income limits & who qualifies
Healthy Connections covers pregnant women up to 199% of the federal poverty line — $51,380 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://apply.scdhhs.gov/ or by phone at 1-888-549-0820. Federal law requires a 45-day decision on non-disability applicati…
Doula coverage
Doula coverage details
Healthy Connections runs a Medicaid doula pilot reimbursing up to $1,000 per full perinatal package.
Postpartum extension
12-month postpartum status
Healthy Connections extended postpartum Medicaid coverage to 12 months, effective 2022-04-01.
Pregnant women
Pregnancy coverage in full
Healthy Connections covers pregnancy-related care up to 199% of the federal poverty line — about $51,380 annual income for a family of thre…
Renewal
Annual renewal & unwinding
Healthy Connections redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69% of…
For Black families
Roughly 485,000 Black residents are enrolled in Healthy Connections, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.
South Carolina launched a 24-month Medicaid doula pilot in September 2024 under H 3592 (2023), reimbursing up to $1,000 per package in the Upstate, Midlands, and Lowcountry regions. Charleston Birth Place and Reaching Our Sisters Everywhere (ROSE) coordinate Black birth worker training.
For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/sc/.
More on South Carolina from Black Health
FQHCs
Federally Qualified Health Centers in South Carolina
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in South Carolina
Filter our directory to South Carolina by specialty.
Health data
Black Health outcomes in South Carolina
Maternal mortality, life expectancy, uninsured rate by race.
Data sources
- Healthy Connections — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed: