New Coverage for COVID-19 Testing Available for Those Without Healthcare Coverage

PROVIDER ALERT

The South Carolina Department of Health and Human Services (SCDHHS) today announced it will begin accepting applications for a limited-benefit Medicaid coverage group newly authorized by the Families First Coronavirus Response Act (FFCRA) to provide reimbursement for coronavirus disease 2019 (COVID-19) testing for those without healthcare coverage. Today’s announcement will provide additional financial support to increase access to testing, a critical component of the state’s response to addressing the pandemic, for South Carolinians without other sources of healthcare coverage. Current Healthy Connections Medicaid members, including those enrolled in Family Planning, do not need to apply for the new program.

In order to qualify for this new SCDHHS-administered program, an individual must:

  • Be uninsured;
  • Be a resident of South Carolina;
  • Provide a Social Security number; and,
  • Have a qualifying citizenship or immigration status.

In order for testing to be covered by the new COVID-19 Limited Benefit Program, the test must be conducted by a healthcare provider who accepts Healthy Connections Medicaid. A list of in-network Healthy Connections Medicaid providers is available here on SCDHHS.gov .

Coverage for this group is limited to COVID-19 testing. To apply for this new limited-benefit coverage, visit www.scdhhs.gov/COVID19 ,click on “Apply for COVID-19 Limited Benefit Coverage” to download an application, then follow the instructions on the application for how to return it; or, call (888) 549-0820 from 8 a.m.-6 p.m. Monday-Friday or 9 a.m.-2 p.m. on Saturday. COVID-19 testing is a covered benefit for current Healthy Connections Medicaid members.

SCDHHS has also made a number of temporary policy changes to ensure ongoing access to care during the COVID-19 pandemic, including creating additional ways to submit documents electronically to the agency. For more information regarding those changes, visit www.scdhhs.gov/COVID19 .

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