Member Forms
Are you a Healthy Connections Medicaid member who has recently moved? We've got a new and easy way for you to update your address! Visit https://apply.scdhhs.gov to find our change of address portal. We always need your current information so we can send you any updates about your Medicaid coverage.
Change of Address Flyer (English) (Spanish)
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Other Forms:
- Add an additional person to your household
- Authorization to disclose health information
- Revocation of authorization to disclose health information
For additional forms related to member eligibility, please visit the Getting Started forms page.