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STAGED BUILD — NOT YET PUBLISHED. This page is held from publication on the principal’s order of October 22, 2026. Nothing on it is approved for release until that order is lifted.

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South Carolina Medicaid, through one door

Healthy Connections · run by the South Carolina Department of Health and Human Services (SCDHHS).

One state agency runs it: SCDHHS, under the name Healthy Connections, covering roughly one million members. Delivery is managed-care dominant — five MCOs — with a fee-for-service residue; seven 1915(c) home and community-based waivers operate alongside. South Carolina has not adopted the Medicaid adult expansion group; its CHIP is Partners for Healthy Children.

This page is the streamlined way in: the state’s own front doors, laid out in one place, each a straight link to the official page it names. It is one of 51 such interfaces, one per state and the District of Columbia, each built from that state’s Knowledge Base. The page is built to collect nothing — no forms, no accounts, no trackers — and every click hands you to the state’s own site.

Start here · Members & eligibility · Providers — enroll & revalidate · Manuals · Bulletins & public notices · Fee schedules & rates · Managed care · Waivers · Rules & the state plan · Program & oversight · Not here yet · Everything on file

Start here

Members & eligibility

Providers — enroll & revalidate

Manuals

Bulletins & public notices

Fee schedules & rates

Managed care

Waivers

Rules & the state plan

Program & oversight

Not here yet

What this state’s Knowledge Base does not hold, stated plainly. A door with nothing behind it is not linked to air; the gap is printed instead.

Executed, signed per-plan MCO contracts — only the July 1, 2025 finalized contract form was located.
The current published Medicaid Quality Strategy document — referenced and linked, not captured.
The full text of bulletin MB24-022, "Restart of Provider Revalidation."
The text of Regulation 126-300(B), "Medicaid Service Area."
Standalone approved 1915(c) applications for the HASCI, Community Supports, HIV/AIDS, and Mechanical Ventilator Dependent waivers.
The eligibility manual (MPPM) on its official host — found only through a third-party mirror.
Individual fee-schedule files — the index of 33 schedules is here; the files behind it were not opened.
A public approval packet for SPA 26-0001 — the filing is held; no public packet was located.

Everything on file

The state’s Knowledge Base record, class by class — every located source behind the doors above, with its address exactly as the record carries it. Records the front doors already use are not repeated here.

State plan & amendments — 13 on file

SPA SC-25-0011 approval packet — Personal Needs Allowance increase (Attachment 2.6-A)DPNA increase for nursing facility / ICF-IID residents; supersedes the 1991 pre-print embodiment in the old compilation.
SPA SC-25-0011 approval packet (SCDHHS-hosted copy)DSame instrument as H-02 on the agency host; counted as a separate source record, one unique instrument.
SPA SC-24-0023 approval packet — DSH methodology, Attachment 4.19-A p.28aDFFY 2025 DSH pools incl. SCDMH psychiatric pool and rural pool; inpatient UPL update companion to the Mar 2026 DSH SPA in the Medicaid.gov listing.
SPA SC-24-0026 approval packet — §1932(a) managed care, plan-count limit (Attachment 3.1-F)DThe state-plan authority for mandatory MCO enrollment; limits Healthy Connections MCOs to no fewer than two and no more than four by enrollee analysis.
SPA SC-24-0026 approval packet (SCDHHS-hosted copy)DSame instrument as H-05 on the agency host.
SPA SC-24-0022 approval packet — Intensive Outpatient / Partial Hospitalization benefit (Attachment 4.19-B)DAdds IOP/PHP as a psychiatric benefit in outpatient hospital services.
SPA SC-25-0015 approval packet — Rehabilitative Behavioral Health Services rate update (Attachment 4.19-B)DRBHS reimbursement update; one of the SPA IDs the house's plan reconciliation tracked as a superseded-reference survivor.
SPA SC-25-0014 approval packet — prescribed drugs / pharmacy reimbursement (Attachment 4.19-B p.3c)DAAC plus $10.50 professional dispensing fee basis for outpatient drugs.
SPA SC-25-0006 approval packet — inpatient APR-DRG version 32 to 42 (Attachment 4.19-A)DInpatient hospital classification update.
SPA SC-25-0010 approval packet — Medication-Assisted Treatment supplement (Attachment 3.1-A Suppl. 4)DMAT permanence under §1905(a)(29); the 2025-09-30 sunset recital is removed.
SPA SC-24-0015 approval packet — PRTF reimbursement (Attachment 4.19-A)DPRTF per-diem rates incl. ASD-designated PRTF rate; companion to locally held SPA 26-0001 (see GAPS).
SPA SC-24-0014 approval packetDSPA packet located by transmittal number; subject not read in this pass, so no CFR mapping is asserted.

Waivers — 16 on file

Community Choices waiver amendment SC.0405.R04.09 (approved)DCurrent amendment of the largest 1915(c) waiver; Appendix G incident alignment with the CMS Access Rule; Prime references removed.
Combined Appendix K amendment — all eight 1915(c) control numbersDOne instrument carrying the control-number set for ID/RD, HASCI, CS, CC, HIV/AIDS, Vent, MCC and PCSC.
ID/RD waiver final draft renewal (for 2026-01-01)DDraft-posture renewal text for SC.0237; posture flagged — a draft is not the approved application.
ID/RD waiver approved amendment SC.0237.R06.09DApproved amendment text for the ID/RD waiver.
MCC waiver approved amendment SC.0675.R03.06DApproved amendment text for the Medically Complex Children waiver.
PCSC waiver application SC.1686.R00.00DThe Palmetto Coordinated System of Care waiver instrument; its current authority posture is a named conflict (see GAPS).
Public notice — waiver amendments (PDF)DPDF form of H-22.
Public notice — CC and HIV/AIDS waiver renewalsLRenewal intent for SC.0405 and SC.0186 with summary of changes.
Public notice — ID/RD and MCC waiver renewalsLRenewal intent for SC.0237 and SC.0675.
Public notice — Palmetto Pathways to Independence demonstration (42 CFR 431.408 notice)LThe §431.408 public-notice instrument for the pending 1115.

Regulations & statutes — 7 on file

S.C. Code Regs. §126-375 / §126-940 — Medical Institution Vendor PaymentsRLevel-of-care certification and applied-income rules for institutional vendor payments.
S.C. Code Regs. §126-125 — General (nondiscrimination / complaints)RCarries Title VI / §504 / Age Act administration for the agency's programs.
S.C. Code Regs. §126-500 — Definitions (Medically Indigent Assistance Program)RChapter 126 Article 5 definitions; MIAP is a state program adjacent to Medicaid, mapped only after a text read.

Bulletins — 6 on file

Medicaid Bulletin MB 25-027 — Updates to Adult Day Health Care Service RatesLHCPCS S5102 ADHC rate $72 to $80/day for CC, CS and ID/RD waiver members; rate lands in the HCBS Waiver Fee Schedule.
Medicaid Bulletin MB 26-032 — Year One FFY26 Rural Health Transformation Program AwardsLRHTP is a CMS cooperative-agreement grant program (P.L. 119-21 §71401), not a Medicaid benefit authority: 228 projects, $167,299,900.69, from the $200,030,252 FFY26 award. Filed as a program document, not as CFR-bearing Medicaid policy.

Public notices — 9 on file

Public Notice of Final Action — ESRD Clinic Reimbursement MethodologyDAll-inclusive ESRD rate at 80% of CY2025 Medicare PPS rate.
Public Notice of Final Action — Outpatient Hospital Drugs and Biologicals Payment UpdateDAdd-on drugs/biologicals paid outside the outpatient hospital multiplier, per Attachment 4.19-B §12.a(H)&(J).
Public Notice of Final Action — Alien Medicaid Eligibility (P.L. 119-21 §71109)DState-plan change limiting federal funding for some non-citizens; emergency-services coverage preserved; affected members to be reassessed.
Public Notice of Final Action — Estate Recovery Undue Hardship Waiver RequirementsLExpands the immediate-family-member definition for hardship waivers to include grandchild; SC thresholds: estate over $25,000 and claims over $500.
Public Notice of Final Action — Medicaid Reimbursement of MAT in Opioid Treatment ProgramsLIncreases weekly MAT bundle rates (methadone / buprenorphine); $922,000 anticipated annual impact.
Public Notice of Final Action — State-owned Psychiatric Residential Treatment Facility ServicesLEstablishes a payment methodology and governmental rate for state-owned PRTF providers; $1.17M anticipated impact. Companion to SPA 26-0001 (see GAPS).
Public Notice of Proposed Action — Setting Payment Rates for Long-term Care Facility ServicesLNursing facility methodology: FYE 2024-09-30 cost data, 105%-of-mean standards, 2.6% inflation factor.

Managed care — 11 on file

Managed Care Process and Procedure Manual — January 2025 blacklineDPrior edition of H-58; kept as a version-chain record, not a separate instrument.
Managed Care Report Companion Guide — January 2026 blacklineD281 pp.; encounter and EQI reporting duties for MCOs (quarterly/annual schedules).
Managed Care Carve-in FAQsLConfirms Prime sunset 2025-12-31, D-SNP transition, NF billing returning to Medicaid FFS, 90-day plan-switch window.
Public Notice of Final Action — Managed Care Enrollment Carve-inLState-plan final action for mandatory assignment; anticipates ~$86.3M decrease in the FFS program.
Healthy Connections Prime — Program Data page (incl. capitation rate reports CY2016-CY2025)LIndex to the Prime three-way-contract era records; useful provenance for the ended MMP demonstration.

Program documents — 16 on file

Medicaid Advisory Council — Application and Selection ProcessDMAC of no more than 17 members; BAC share rising 10% to 25%.
TPL DHHS solicitation 5400029312 — IT and business operations to operate the TPL program (mirror)REvidence the TPL operation is being re-competed; mirror copy — the official SCEIS posting was not opened in this pass.
Draft South Carolina Medicaid Quality Strategy — public notice pageLThe notice links a published Quality Strategy; the strategy document itself was not retrieved in this pass (see GAPS).
Healthy Connections Prime CY2024 Updated Medicare and Medicaid Rate ReportDFinal-era Prime capitation documentation (3% shared savings per the Aug 2023 three-way contract amendment); provenance for the ended demonstration.

The handoff. Every link on this page leaves Agentic Armor for the official state or federal page it names; nothing here stands between you and the state. This interface is built to collect nothing: it asks for nothing, stores nothing, and follows no one. What the state’s own sites do after the handoff is the state’s own practice.

Built from the South Carolina State Knowledge Base (scrape of October 22, 2026): 166 documents held · 84 records located · register of 512 entries. Knowledge base depth — its own measure: 63 of 64 registered rows in production. 166 source documents held; 84 records located in the October 22, 2026 scrape. Held from publication on the principal’s order of October 22, 2026. Read alongside: all states · the Atlas · home. Agentic Armor LLC.