Medicaid was established in 1965 by the federal government to provide necessary health care services to low-income Americans. The program is funded jointly by federal and state revenue and operates under federal guidelines but is administered by individual states.
South Carolina’s Medicaid program, Healthy Connections, is overseen by the Department of Health and Human Services and provides services for over 20% of the state’s residents. To qualify for Medicaid, those over age 65, blind or disabled must be a South Carolina resident and:
- Be a U.S. citizen or legal resident
- Have monthly income below $1,041 for an individual or $1,409 for a married couple
- Have assets of less than $7,730 as an individual or $11,600 as a married couple
Those who qualify receive a range of services including doctors visits, hospital care, laboratory tests, X-rays and prescription drugs. Supplemental Security Income recipients automatically qualify for full Medicaid benefits.
Medicaid-eligible seniors with a monthly income of up to $2,313 and $2,000 or less in assets per person qualify for long-term care in a nursing home. There are exceptions to these
financial limits for married applicants when only one spouse applies:
- Those whose two-person household income is above the combined $4,626 limit may still qualify because Medicaid allows up to $3,160.50 in monthly income to be transferred to their non-applicant spouse as a living allowance.
- Those who are over the basic countable asset limit even with allowed exemptions, such as a home, vehicle and personal effects, may qualify when $66,480 in joint assets are deducted, which is the amount allowed a non-applicant spouse.
Community Choices Long-Term Care Waiver South Carolina’s Medicaid plan doesn’t pay for assisted living as it does nursing home care. It does offer a
Community Choices waiver program that may benefit those who want to move to an assisted living facility. The goal of the waiver is to lower long-term care costs by keeping seniors in the community and reducing nursing home placements. Medicaid-eligible individuals who qualify for nursing home care must be assessed to ensure they can live safely in a community setting with the provided waiver services. Room-and-board costs aren’t covered, but the program pays for other services such as:
- Case management
- Attendant or companion services
- Personal care and help with activities of daily living
- Incontinence supplies
- Necessary durable medical equipment
- Health checks including blood pressure and blood glucose levels
- Intermittent skilled nursing services
- Transportation
- Nutritional supplements
This long-term care waiver isn’t an entitlement, and SCDHHS limits statewide enrollment numbers, so those who qualify may have to wait for a slot to become available.
To learn more or to apply for the Community Choices waiver program, Myrtle Beach residents can visit the
local SCDHHS office at 1601 11th Ave. in Conway or call (843) 248-7249.