Everything You Want To Know

Medicaid / South Carolina

Medicaid for Home Care in South Carolina

Medicaid Certified Home Care Agency in South Carolina

Claiming Medicaid in South Carolina requires that the agency should be certified as an HHA (Home Health Agency). The regulations vary in different states, which is the reason why agencies should rely on the information offered by their respective state’s Department of Human Services or Bureau of Licensing and Certification. These regulations are different in different states, but an agency should have a valid license and certification.

Governing Body: South Carolina Department of Health and Human Services (SCDHHS)


Medicaid in South Carolina is also known as Healthy Connections and provides health care coverage to seniors, blind or disabled people, women with breast and cervical cancer, children with disabilities, people seeking family planning-related services, and pregnant women.

Medicaid Programs:

  • BabyNet
  • Autism Spectrum Disorder Services
  • South Carolina Birth Outcomes Initiative
  • South Carolina Community Choices Waiver
  • South Carolina Community Supports

Income Requirements:

  • For individuals seeking family-planning services, income is 194% of the FPL
  • For seniors, blind and disabled people, income within just 100% of the FPL
  • Those who receive Medicare, income or resources up to 120% of the FPL

Application Process:

The application process for availing Medicaid for South Carolina residents is easy, and anyone can  apply online for the available Medicaid programs.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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