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Click ‘Get Form’ to open the Medicaid Renewal Form SC in the editor.
Begin by filling out your personal information, including your last name, first name, middle initial, mailing address, and contact numbers. Ensure all fields are completed accurately.
List yourself, your spouse, and any dependent children along with their Social Security numbers and dates of birth. Indicate marital status for each individual.
Provide details about employment for you and your dependents. If applicable, enter gross pay before taxes and include proof of income for the past four weeks.
Complete sections regarding any additional income sources such as child support or unemployment benefits. Attach necessary documentation as required.
Review the Rights and Responsibilities section carefully. Ensure you understand your obligations and rights under the Medicaid program before signing.

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