Coverage you may need
We cover a range of health services for our members. Some services are covered by the South Carolina Medicaid program. We list below these services. You can learn more about them at , opens new window.
Routine and emergency dental services are available to members under the age of 21. Limited dental services are available to members age 21 and over. Call DentaQuest at 888-307-6552 or visit , opens new window.
Targeted case management (TCM) services
Targeted Case Management (TCM) consists of services that assist an individual eligible under the State Plan in gaining access to needed medical, social, educational, and other services. Call 888-356-2197.
Home and community-based waiver services
Home- and Community-Based Waiver Services target persons with long-term care needs and provide access to services that enable them to remain at home rather than in an institutional setting. An array of Home-and Community-Based Services provides enhanced coordination in the delivery of medical care for long-term care populations. Call Waiver Administrations at 803-898-9671.
MAPPS Family-planning services
Medicaid Adolescent Pregnancy Prevention Services (MAPPS) provide Medicaid-funded family-planning services to at-risk youths. MAPPS are designed to prevent teenage pregnancy among at risk youths, promote abstinence, and educate youth to make responsible decisions about sexual activity. These services are provided in schools, office settings, homes, and other approved settings.
Developmental evaluation services (DECs)
Developmental Evaluation Services (DECs) are defined as medically necessary comprehensive neurodevelopment and psychological developmental, evaluation and treatment services for Medicaid beneficiaries between the ages of zero (0) to twenty-one (21) years of age.