Medicaid Coordinated Care Improvement Group

Examines the current Medicaid coordinated care system to determine what is working and not working and develop policies that improve health outcomes, cost efficiency, and patient and provider satisfaction.

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Represents a unique opportunity for South Carolina pediatricians to help develop quality improvement tools that will lead to better health outcomes for current and future generation of patients. 

QTIP Site for more.



Health Access at the Right Time (HeART)


Community Health Worker application deadline extended

The CHW application deadline is extended to January 31st by 12 pm (noon).HeART is comprised of a variety of initiatives developed to identify alternative methods and providers of health care delivery to Medicaid recipients. It is a collaborative effort of over 50 stakeholders from across the state that has a vested interest in promoting improved population health outcomes. 

Provider Manuals

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Health Insurance Premium Payment (HIPP) Program

The Health Insurance Premium Payment (HIPP) program is a South Carolina Department of Health and Human Services (SDHHS) cost containment initiative, which maintains premium payments for eligible Medicaid beneficiaries who retain their private health insurance.  Through this initiative, eligible Medicaid beneficiaries who satisfy HIPP program requirements may qualify for monthly reimbursements for health insurance premiums that they have paid for themselves and/or their eligible dependents.

Healthy Connections Prime

As part of the State Demonstrations to Integrate Care for Dual Eligible Individuals, South Carolina is one of fifteen states selected to design new coordinated care approaches for individuals dually eligible for Medicare and Medicaid. The goals of Healthy Connections Prime are to:
  • Improve health outcomes
  • Delay the need for nursing facility care
  • Reduce avoidable emergency department visits and hospital readmissions
  • Increase access to home and community based services

Waiver Management / Field Management

Community Long Term (CLTC) operates home and community-based waiver programs for persons eligible for nursing home care but who prefer to receive their services in the community. Through a process of case management and an individualized service package, waiver clients are able to successfully remain at home at a cost to Medicaid that is substantially less than the cost of institutional care.

The CLTC program began statewide in 1983 after a three-year pilot program in the Upstate.

South Carolina Birth Outcomes Initiative

An effort by SCDHHS & partners to improve health of newborns in the Medicaid program.

EHR Incentives



SC Medicaid EHR Incentive Program, paid through week ending 04/12/13.

EMR, Provider Incentives, Health Record Incentives, HIT


HIT/EHR Incentive Program

Yearly Review Forms

Report Fraud