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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Q. How will I know if I qualify for Medicaid? You are pregnant or think you may be pregnant. You are or have a child or teenager age 18 or under. You or your child is in foster care or adopted. You have been diagnosed with breast or cervical cancer. You are blind. You have a disability or disabilities.
To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.
Web Tool: As always, the web tool allows providers to obtain information online to determine whether an individual is enrolled in Medicaid. To access the web tool, providers should visit .
Adults: Only medically necessary exams are covered for adults. Retroactive services and routine eye exams are not covered. Children: One eye exam and glasses are covered for children. Copayments A copayment is a fixed amount you pay for a covered health care service, usually paid at the time you receive the service.
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To be eligible for South Carolina Medicaid, you must be a resident of the state of South Carolina, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You may apply at either website. If you apply for S.C. Healthy Connections (Medicaid), you may be assessed eligible for services in the Federal Marketplace.
Medicaid from Molina delivers expert care, from quality doctors, along with extra benefits and dedicated customer services. Everyone deserves to feel their best. At Molina Healthcare, our Medicaid health plan makes good health easier. For the care you need now, lean on Molina.
Fee-for-Service (FFS)SCDHHS pays providers for health care services. This typically includes services offered under a waiver program.
Verifying Eligibility for Enrolled Members Providers can access information online to help determine if an individual is enrolled in Medicaid through the South Carolina Medicaid Web Portal, commonly known as the web tool. To access the web tool, please visit .

south carolina medicaid annual review