Healthy Connections Medicaid Sc Phone Number

Date:

Additional Phone And Virtual Resources For Healthy Connections Medicaid Members

How to Apply for Medicaid in South Carolina

Healthy Connections Medicaid members who are enrolled in a managed care organization currently have access to a 24-hour nurse call line where they can ask non-emergency health care-related questions. SCDHHS is also establishing a 24-hour nurse call line as a resource for members who are not currently enrolled in an MCO. SCDHHS expects this new resource to be available by the end of the month and will announce its availability in a future message. MCO nurse call lines are available below:

  • First Choice by Select Health of South Carolina

Self Regional Healthcare is also offering telephone screening. Call the COVID-19 Screening Line at 725-4200.

Healthy Connections Medicaid members may want to consider using these free resources as a first step if they need access to non-emergency health care. Additionally, to best meet the needs of Healthy Connections Medicaid members, SCDHHS has expanded the availability of the Healthy Connections Medicaid Member Contact Center, which is now open from 9 a.m.-2 p.m. on Saturdays, in addition to 8 a.m.-6 p.m. Monday through Friday, at 1-888-549-0820.

Using The Sc Medicaid Portal

While all options are viable, applying online certainly has unique perks. By using the SC Medicaid Portal, youll be able to see all of your free and affordable health coverage options, plus you can save your work and return to it later. This is important because the application requires a lot of paperwork and documentation that you may not have in front of you all at once. Plus, it takes a while to complete the application properly. It may be easier for you to spend a few minutes at a time working on it.

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Eligible For Medicaid Coverage In South Carolina

To complete the Medicaid application process:

How do I apply?

To apply for Healthy Connections, you will need to complete and submit an application. You can submit an application:

SC Thrive is available to help you with the online application and can provide an assessment of your households most likely health coverage options. Call SC Thrive at 1-800-726-8774 or go to

, opens new window or at federally qualified rural health centers and most hospitals.

Return your application and supporting documents electronically to

Send your application and supporting documents to SCDHHS-Central Mail, P.O. Box 100101, Columbia, SC 29202-3101.

If you are a pregnant woman, you may be able to get medical care while you wait for Healthy Connections to process your application. Call Healthy Connections at 1-888-549-0820 for more information.

Read Also: North Carolina Managed Medicaid Plans

To Apply You Will Need To Have The Following For All The People In Your Household:

  • Date of birth
  • Social Security Number
  • Income from jobs or training
  • Benefits received now , such as Social Security, Supplemental Security Income , veterans benefits or child support.
  • Amount of money in your checking account, savings accounts or other resources you own.
  • Monthly rent, mortgage payment and utility bills.
  • Payments for adult or child care health coverage and/or medical benefits you currently have.

To schedule an appointment with the Medicaid Eligibility, call or

What You Need When You Apply

Contact Us

Before you apply, you will need to know the following for all the people in your household:

  • Date of birth
  • Social Security Number
  • Income from jobs or training
  • Benefits received now , such as Social Security, Supplemental Security Income , veterans benefits, or child support
  • Amount of money in your checking account, savings account, or other resources you own
  • Monthly rent, mortgage payment, and utility bills
  • Payments for adult or child care health coverage and/or medical benefits you currently have

You can find more information about the enrollment process and answers to frequently asked questions on the , opens new window

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Do You Or Your Family Need Healthcare Coverage

SC Thrive provides access to healthcare coverage for our clients through Thrive Hub. The healthcare programs that we can provide access to are Healthy Connections Medicaid, Healthy Connections Prime, Long Term Care, Medically Indigent Assistance Program, Medicare Savings Programs, Medicare prescription help, and Welvista Medication Assistance Program. You can apply for healthcare coverage with one of our counselors at an SC Thrive site or over the phone with our Contact Center at .

  • Visit scdhhs.gov to learn more.
  • Call our Contact Center at to start your application now.

What is Healthy Connections Prime?Healthy Connections Prime is an enhanced healthcare option for seniors providing enhanced Medicare and Medicaid Services. Healthy Connections Prime offers better care by making it easier for you to get all of your Medicare, Medicaid, and Part D services from a health plan that you choose, better value through a care team and a care manager that works directly with you and your doctors and better health through benefits that help you stay at home with your family for as long as possible.Benefits for enrollees include:

  • No insurance premiums or deductibles
  • No cost for prescription drugs, doctor visits, or hospital stays
  • One health plan card to manage all your Medicare and Healthy Connections Medicaid medical and prescription drug benefits
  • A care plan designed specifically to meet your health needs

Who can receive Healthy Connections Prime?

How do I apply for Welvista MAP?

South Carolina Medicaid Doctors

To find a doctor or other provider near you who accepts your SC Medicaid plan, use the SC Choices provider search tool. Enter your city, county, and zip code, the plan you have or would like to enroll in, and the type of doctor you are looking for. You can also type in a specific doctors name to see if they accept your plan. We would recommend calling ahead and making sure that the doctor you want to schedule an appointment with will accept your plan.

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What Is Healthy Connections

Healthy Connections is South Carolina’s Medicaid program. It is a medical assistance program that helps pay for some or all medical bills for many people who cannot afford medical care. The program also assists individuals who are over 65 or have a disability with the costs of nursing facility care and other medical expenses. Eligibility is usually based on applicants’ income and assets. Healthy Connections is administered by the South Carolina Department of Health and Human Services and pays medical bills with state and federal tax money.

Please visit our full list of for more information.

Scdhhs Coronavirus Preparation Response Resources And Updates

Star Plus – Medicare Medicaid

The South Carolina Department of Health and Human Services is taking proactive steps to protect South Carolina Healthy Connections Medicaid members by ensuring ongoing access to care during the current outbreak of coronavirus disease 2019 . These steps support important social distancing measures, include new resources for Healthy Connections Medicaid members and give more flexibility to help health care providers safely and effectively treat patients.

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Nurse Phone Line Now Available 24/7 For Healthy Connections Medicaid Members

Healthy Connections Medicaid members who are not enrolled in a managed care organization are now able to speak with a nurse by phone for non-emergency health care-related questions. This resource is open 24 hours a day, seven days a week, and is free to Healthy Connections Medicaid members who are not enrolled in an MCO. If youre enrolled in an MCO, you currently have access to a 24-hour nurse call line where you can ask non-emergency health care-related questions. Nurse call line numbers are available below:

  • First Choice by Select Health of South Carolina
  • Healthy Blue by BlueChoice of SC
  • Molina Healthcare of South Carolina
  • Nurse Call Line for Healthy Connections Medicaid not Enrolled in an MCO
  • To best meet the needs of Healthy Connections Medicaid members, SCDHHS has also expanded the availability of the Healthy Connections Medicaid Member Contact Center, which is now open from 9 a.m.-2 p.m. on Saturdays, in addition to 8 a.m.-6 p.m. Monday through Friday, at 549-0820.

    There are also a number of free resources offered by telehealth virtual care providers. These options are available to anyone experiencing COVID-19 symptoms and are outlined in this message that was sent on March 20, 2020 . The message sent on March 20 also contained information regarding the suspension of annual reviews during the COVID-19 crisis.

    Tips For Safety And Not Spreading The Virus

    The South Carolina Department of Health and Environmental Control and the Centers for Disease Control and Prevention continue to provide the latest public health information to help prevent the spread of COVID-19, the flu and other respiratory viruses. Tips from CDC and DHEC include:

    • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom before eating and, after blowing your nose, coughing or sneezing.
    • Avoid close contact with people who are sick.
    • Avoid touching your eyes, nose and mouth.
    • Stay home when you are sick.
    • Cover your cough or sneeze with a sleeve or tissue, then throw the tissue in the trash.
    • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe.
    • Remember that were still in an active flu season, so get your flu shot if you havent already.

    For more public health resources, tips and updates, please regularly check DHEC and the CDCs COVID-19 webpages.

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    Important First Choice Numbers

    Use these phone numbers to get in touch with First ChoiceSM by Select Health of South Carolina.

    Hours are Monday through Friday, 8 a.m. to 6 p.m. Saturday and Sunday, only for members with pharmacy-related calls, 8:30 a.m. to 5 p.m.

    • Choosing a doctor

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    Healthy Connections Prime Ombudsmen

    Provider FAQs

    What do we do?

    • We help members to navigate the process and educate them on their rights and benefits.
    • We assist with Medicaid recertification process and make sure that members are not billed for out of pocket costs.
    • We work with the member/and or plans to assist with the appeals and grievance process.
    • We educate the members, caregivers, stakeholders, and community via telephone, walk-in, emails, or outreach events.

    Successes

    • Assisted members to have their overdue claims paid
    • Assisted members with recertification to maintain eligibility with Medicaid
    • Prevented inappropriate discharges

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    How Do I Update My Contact Information

    You can update your contact information over the phone by contacting the Healthy Connections Medicaid Member Contact Center at 549-0820 from 8 a.m. to 6 p.m. Monday through Friday. You can also visit your county eligibility office for help. For a list of office locations, please click here.

    It is important to make certain we have your current contact information so you receive important messages about our program, notices about your Medicaid coverage and your annual review form to ensure you continue receiving Medicaid benefits.

    Temporary Coverage Policy Updates To Ensure Continued Access To Care During The Covid

    SCDHHS has updated several policies over the last three weeks to ensure Healthy Connections Medicaid members have access to quality care and help contain the spread of COVID-19. Many of these temporary policy changes allow Healthy Connections Medicaid members to receive health care services from their own home over-the-phone or through a video interaction rather than visiting their health care provider in-person. This type of health care service is commonly known as telehealth. If you have questions regarding telehealth, call your health care provider for more information on what options may be available.

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    How To File An Appeal

    You can ask for an appeal if your Medicaid coverage has changed, ended or been denied. You can also ask for an appeal if a medical service you need has been denied or delayed. For more information about the appeal process go to www.scdhhs.gov/appeals or call 1-800-763-9087.

    To ask for an appeal, submit a request within 30 days from the date on your closure or other notice with your contact information , a copy of the denial or other notice received and a description of what and why you are appealing. You can submit an appeal:

    Medicaid Provider Service Center

    Healthy Connections Prime Live

    The South Carolina Department of Health and Human Services has made important changes to its provider services, support and relations procedures in order to better serve you. SCDHHS consolidated operations to provide a single point of contact through the Medicaid Provider Service Center at 1-888-289-0709 and expanded the ways in which providers can contact us. This will allow us to more effectively respond to your requests and track your needs.

    The improvements at PSC will allow us to now handle all provider inquiries related to eligibility, enrollment, education and training, claims and reimbursement status, electronic data interchange, and general customer service needs. Providers should direct all telephone inquiries to the PSC by calling 1-888-289-0709 and following the voice prompts depending on the nature of the call. It is no longer necessary to address inquires or correspondence to an assigned representative. Any available PSC Representative will be able to assist you.

    Effective immediately, you can also access provider service requests online. Simply submit an online inquiry at and a provider support representative will then respond to you directly.

    Updates and changes will continue to be posted to our website at www.scdhhs.gov as we continue to improve the services that we provide to both Medicaid providers and beneficiaries. Please continue to review your Medicaid Policy manual for additional policy changes and updates.

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    Choosing A Medicaid Health Plan

    Healthy Connections Choices the health plan selection website for South Carolina Healthy Connections Choices. South Carolina Healthy Connections Choices is a program that helps eligible Medicaid members enroll in health plans.

    1-877-552-4642

    Watch video clips and find materials that help you choose a health plan and doctor. Find meetings in your area to learn more about the health plans.

    Pregnant Women And Infants

    Healthy Connections provides coverage to pregnant women with low income. This coverage for the mother continues for 12 months after the baby’s birth. The infant is covered up to age one.

    A woman who may qualify for this program must:

    • Be pregnant
    • Be a South Carolina resident
    • Be a U.S. citizen or Lawful Permanent Resident Alien
    • Have a Social Security number or verify an application for one

    Individuals who are eligible will receive all Medicaid covered services.

    Apply online or complete the following form and submit it electronically to , by mail to SCDHHS-Central Mail, P.O. Box 100101, Columbia, SC 29202-3101 or to your .

    The Omnibus Budget Reconciliation Act of 1986 gave states the option to provide Medicaid coverage to pregnant women with low income.

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    All South Carolina Residents Encouraged To Complete 2020 Census

    All South Carolina residents are being asked to complete the census as soon as possible by responding online, by phone or by mail. The census is safe, easy to complete and can be taken in under 10 minutes. The personal information you provide is kept confidential, and the law is required to protect your answers. The United States Census Bureau does not disclose any personal information and is required to protect your answers and responses, which are only used to produce statistics.

    More information about the census, including how to complete it, can be found on the 2020 United States Census Bureaus website .

    Finally, for more public health resources, tips and updates, please regularly check DHEC and the CDCs COVID-19 webpages.

    How Do I Apply

    South Carolina Medicaid Application Form Fill Online

    To apply for Healthy Connections, you will need to complete and submit an application. You may apply online at apply.scdhhs.gov . SC Thrive is available to assist you with the online Healthy Connections application and can provide an assessment of your household’s most likely health coverage options. Please contact their help line at 726-8774 or visit them online at scthrive.org if you have questions or need assistance.

    You may also apply in person at your or contact our main customer service line at 549-0820. In addition, you may apply in person at federally qualified rural health centers and at most hospitals. TTY: 888-842-3620

    You can return your application and supporting documents electronically to , by mail to SCDHHS-Central Mail, P.O. Box 100101, Columbia, SC 29202-3101 or at your .

    If you are a pregnant woman, you may be able to receive medical care while you wait for your application to be processed. Please contact Healthy Connections at 549-0820 for more information.

    Before you apply, you will need to know the following for all the people in your household:

    • Date of birth
    • Social Security Number
    • Income from jobs or training
    • Benefits received now , such as Social Security, Supplemental Security Income , veteran’s benefits or child support
    • Amount of money in your checking account, savings accounts or other resources you own
    • Monthly rent, mortgage payment and utility bills
    • Payments for adult or child care health coverage and/or medical benefits you currently have

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    Suspension Of Annual Reviews

    The Families First Coronavirus Response Act, signed into law on March 18, 2020, authorizes states to suspend annual redeterminations in order to ensure continuity of care during the nations COVID-19 response. Accordingly, Healthy Connections Medicaid members enrolled as of March 18, 2020, will retain their eligibility for Medicaid services until the end of the public health emergency, unless the member requests to withdraw from the program.

    SCDHHS will issue additional guidance to beneficiaries prior to resuming annual reviews. Healthy Connections members do not need to take any action at this time.

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