Browser Settings
You currently have JavaScript turned off. To utilize this portion of the website, please turn JavaScript on. To learn more about JavaScript, please visit our Help section.
This website is presently under construction and may include incomplete or inaccurate information. If you are searching for a healthcenter closest to you, please visit the HRSA.gov Health Center Locator.
See all centers
South Carolina Medicaid Program-General Information
Program Description
- Established by Title XIX of the Social Security Act
- Provides quality health care to low income, disabled, and elderly individuals by utilizing state and federal funds to reimburse providers for approved medical services.
- South Carolina Department of Health and Human Services (SCDHHS) is the single state agency designated to administer the SC Medicaid program.
- SCDHHS administers the traditional fee-for-service Medicaid program and offers two (2) Medicaid Managed Care Programs.
**Click here to visit the SC Medicaid Program website
Medicaid Managed Care Organization (MCO) Program
- Consists of contracted MCOs that provide approved medical services through a developed network of providers
- SCDHHS pays a capitated rate per member per month, according to age, gender, and category of eligibility to MCOs.
- Payments for core services provided to MCO members are the responsibility of MCOs, not the fee-for-service Medicaid program.
- MCOs may elect to provide their members enhanced services beyond what is offered under traditional fee-for-service Medicaid.
SC Federal Qualified Health Centers participate in the traditional fee-for-service Medicaid program and the Medicaid Managed Care programs. Please contact the center in your area about the specific Medicaid Managed Care programs that are accepted.
Medicaid Bulletins
All Provider
Bulletins
Bulletin Archives
Dental Bulletins
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT)
Bulletins
ICD-10 Bulletins
Pharmacy Bulletins
Physicians Bulletins
Vision
Waivers
