Medicaid Eligibility Annual Reviews Had Resumed for Healthy Connections Medicaid Members

Medicaid Eligibility Annual Reviews Had Resumed for Healthy Connections Medicaid Members

Medicaid Eligibility Annual Reviews Had Resumed for Healthy Connections Medicaid Members

According to South Carolina Healthy Connections Medicaid press release, the South Carolina Department of Health and Human Services has created a web page where Healthy Connections Medicaid members can find information about Medicaid annual reviews (www.scdhhs.gov/annualreviews). The agency will continue to update this page with information as it begins the annual review process.

Information for Healthy Connections Medicaid Members

It is very important SCDHHS has updated contact information for its Healthy Connections Medicaid members. If members have moved without informing SCDHHS, they may miss important information needed to keep their Medicaid coverage. Members can update or add their contact information by visiting apply.scdhhs.gov

Over the phone by calling (888) 549-0820 Monday through Friday from 8 a.m. to 6 p.m.; or,

By visiting an SCDHHS local eligibility office (a list is available at www.scdhhs.gov/site-page/where-go-help.

While this process began on April 1, 2023, members began receiving notices and review forms in April 2023, the agency anticipates it will take 12 months to complete this process. This means some members will not receive their notice or annual review form until March 2024.

SCDHHS will first attempt to renew individuals’ Medicaid eligibility with information that is already available. If SCDHHS can verify continued eligibility this way, a Medicaid member will receive a “continuation of benefits” notice and will not receive an annual review form.

If continued eligibility cannot be confirmed with information already available, the agency will notify the Medicaid member and mail a form to be completed and returned. Annual review forms must be filled out completely and returned within 60 days. The return date will be included in the information the agency sends to impacted Medicaid members. For members who have provided SCDHHS with a cell phone number, the agency will also send a series of text messages to remind the member to return their review form if they have not done so already. The member may opt out of this service by following the instructions in the initial text message.

If a member receives an annual review form instead of a continuation of benefits notice, it does not mean they are no longer eligible. It does mean they need to fill out the review form completely and/or send SCDHHS other information needed to determine if they are still eligible.

If you no longer qualify for Medicaid or CHIP, you may be able to get health coverage through the Health Insurance Marketplace®. For more information, please contact our health navigator at (803) 900-0702.

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