S.C. Code Regs. § 126-355
Current through Register Vol. 48, No. 5, May 24, 2024
Section 126-355 - Application ProceduresA. Any individual or family who is determined eligible for financial assistance under the Aid to Families with Dependent Children, Optional State Supplementation, Refugee Assistance, or Supplemental Security Income programs is eligible for Medicaid without filing a separate application.B. If an individual who has been determined eligible for financial assistance dies before receiving an actual assistance payment, the date of application for financial assistance shall serve as the application for Medicaid. Medicaid coverage is available to the individual for the period of time for which he was determined eligible.C. All other individuals must file an application for Medicaid benefits with the Department of Social Services.D. The following time standards shall be used for determinations of eligibility: (1) Sixty (60) days for applicants who apply for Medicaid on the basis of disability and forty-five (45) days for all other applicants.(2) These time standards do not apply if unusual circumstances exist (e.g., the agency cannot reach a decision because the applicant or an examining physician delays or fails to take required action) or if there is an administrative or other emergency beyond the agency's control and a determination of eligibility cannot be made within these time standards.