How to apply for Medicaid in South Carolina
The number
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 applications (42 CFR 435.912).
Documents you'll need
- Photo ID (state-issued ID or passport)
- Social Security number for every household member applying
- Proof of income for the last 30 days (pay stubs, tax return, benefit letter)
- Proof of US citizenship or lawful presence
- Proof of address (utility bill, lease, or official mail)
- For pregnancy: a clinician-signed pregnancy verification
- For disability category: medical records if applying disability-based
How to apply in South Carolina
Apply for Healthy Connections online at https://apply.scdhhs.gov/. The portal handles both the initial application and annual renewal. You can also apply by phone at 1-888-549-0820, by mail (download the paper form from the state Medicaid portal), or in person at your county human services / social services office.
Documents you'll need: proof of identity (state ID or passport), Social Security numbers for everyone applying, proof of income for the last 30 days (pay stubs, tax return, unemployment award letter), proof of US citizenship or lawful presence, proof of address (utility bill, lease, piece of official mail), and for pregnancy-related Medicaid, a pregnancy verification letter from a clinician. If you don't have all these documents, apply anyway — state Medicaid programs are required by federal regulation (42 CFR 435.907) to accept applications without documentation and work with you on reasonable compatibility checks.
Language support: every state Medicaid portal must offer interpretation and translation at no cost under Title VI of the Civil Rights Act. Ask for an interpreter when you call or, for written translations, request them in writing. If the state denies reasonable language access, you can file a complaint with the HHS Office for Civil Rights.
Average processing time: the federal standard under 42 CFR 435.912 is 45 days for non-disability applications and 90 days for disability-based applications. Pregnancy-related Medicaid applications often qualify for presumptive eligibility — same-day coverage through a clinic or hospital. 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 Black families
Community enrollment navigators serving Black families in South Carolina are the most reliable route if you want someone to sit with you through the application. Federally Qualified Health Centers have certified application counselors on staff and cannot turn you away for inability to pay. 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.
Where to get help in South Carolina
- Federally Qualified Health Centers in South Carolina: every FQHC accepts Medicaid, charges on a sliding scale for the uninsured, and has certified application counselors who can help you apply or renew. See our FQHC directory for this state at /clinics/sc/.
- Medicaid-accepting providers in South Carolina: our provider directory lets you filter to providers in this state. See /providers/sc/.
- State health profile for South Carolina: for state-level health outcomes context (maternal mortality, infant mortality, life expectancy, uninsured rate) by race, see /health/south-carolina/.
- Healthy Connections consumer help line: 1-888-549-0820 for application help, renewal questions, and general Medicaid inquiries. Ask for an interpreter if you need one; language access is required under Title VI of the Civil Rights Act.
- Find a Navigator: federally funded Navigators help with Medicaid + ACA marketplace applications and are free. Find one via localhelp.healthcare.gov.
References & primary sources
- Healthy Connections, state Medicaid portal: https://www.scdhhs.gov/.
- KFF State Health Facts: kff.org/statedata. Medicaid income eligibility + enrollment.
- Medicaid.gov: medicaid.gov. Federal program guidance + state plan amendments.
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