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ATTENTION:

SCDHHS recently mailed the 2024 IRS 1099-MISC form to eligible Medicaid-enrolled providers that meet IRS-defined thresholds. Reprint requests will be accepted starting Feb. 24. Providers can request a reprint or submit an inquiry online or by calling the Provider Service Center at (888) 289-0709.

The South Carolina Department of Health and Human Services (SCDHHS) has developed a new, interactive public dashboard that displays statewide Healthy Connections Medicaid member enrollment data. The dashboard can be filtered by several data categories, including total full-benefit enrollment, full-benefit children, other adults, disabled adults and those aged 65 and up. Medicaid member counts are not duplicated between data categories. A count of statewide full benefit Medicaid membership can be obtained by including each data category listed below except for "limited benefits." Data represented in the dashboard is rounded. Data with a value above 100,000 is rounded to the nearest 10,000. Data with a value below 100,000 is rounded to the nearest 1,000.

The dashboard will be updated monthly.

 
Glossary 

Children – Members under the age of 19 on the first day of the month of eligibility 

Disabled Adults – Members aged 19-64 on the first day of the month of eligibility who are eligible for Medicaid coverage because they have a disability as defined by the Social Security Administration 

Age 65 and Older – Members aged 65 or older on the first day of the month of eligibility 

Full Benefit Membership – Members with full benefits during the month of eligibility. This number can be calculated by including each data category except for “limited benefits.”

New Applications – Medicaid application for someone who is not currently enrolled in Medicaid or someone who needs additional services such as Nursing Home or Home and Community Based Services.

Other Adults – Non-disabled members aged 19-64 on the first day of the month of eligibility 

Public Health Emergency – The Families First Coronavirus Response Act (FFCRA) prevented state Medicaid agencies from disenrolling members from their Medicaid program, with very limited exceptions, during the COVID-19 federal public health emergency until the Consolidated Appropriations Act, 2023 (CAA 2023) ended this prohibition. The federal public health emergency was in effect from March 13, 2020, until May 11, 2023. Public Health Emergency Unwinding – The CAA 2023 required state Medicaid agencies to resume reviewing Medicaid members eligibility status annually beginning April 1, 2023. In South Carolina, the first Medicaid members who were disenrolled due to the restart of annual eligibility reviews were disenrolled in June 2023. This process, frequently known as the “unwinding” was in effect in South Carolina until Aug. 31, 2024. Thus, South Carolina’s peak Medicaid enrollment due to the FFCRA was in May 2023. Data about the public health emergency unwinding can be found on SCDHHS’ Medicaid Annual Eligibility Review Dashboard.