Dhhs form 3400 a-2025

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The document is an application for Medicaid and Affordable Health Coverage, designed to help individuals determine their eligibility for various health insurance options, including Medicaid and private plans. It outlines the necessary information required for the application process, such as personal details, income information, and existing health coverage. The document emphasizes the importance of providing accurate information to assess eligibility and offers assistance through online resources and customer service contacts. Additionally, it includes sections on non-discrimination policies and rights regarding privacy and appeals.

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What is a 3400 A?

What Is DHHS Form 3400-A? This is a legal form that was released by the South Carolina Department of Health and Human Services - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

What is family planning benefits SC?

Benefits: Family Planning is a limited benefit program, which provides coverage for preventive health care, family planning services and family planning-related services. This program does not meet the standard for Minimum Essential Coverage under the Affordable Care Act.

Does SC Medicaid require prior authorization?

Prior authorization is required for all non-emergent services provided by non-contracted, out-of-state providers.

dhhs format

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How do I contact SC Medicaid?

You can update your contact information over the phone by contacting the Healthy Connections Medicaid Member Contact Center at (888) 549-0820 from 8 a.m. to 6 p.m. Monday through Friday.

Dhhs form 3400 a-2025

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