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.
Now you can submit requested info, report a change in income, return an annual review or submit other documents online using SCDHHS' Document Upload tool. SCDHHS will use the info you give to match your uploaded documents with your Medicaid application, if you have one. We will also use contact info you provide to reach out to you if we have any questions about the documents.