Medicaid Annual Eligibility Redetermination Reviews
Select Health of South Carolina and the South Carolina Department of Health and Human Services (SCDHHS) are preparing for the resumption of Healthy Connections Medicaid members’ annual eligibility redetermination reviews. Annual reviews resumed on April 1, 2023.
This federally required process is in place to ensure those enrolled in Medicaid programs continue to meet established eligibility criteria. Select Health will collaborate with SCDHHS and our provider network to minimize the burden on our members and promote continuity of health coverage.
It is especially important SCDHHS has updated contact information for its Healthy Connections Medicaid members. If members have moved without informing SCDHHS, they may miss essential information needed to maintain their Medicaid coverage.
How will members be notified?
SCDHHS will attempt to renew Medicaid eligibility for members with information already on file. If eligibility can be verified, the member will receive a “Continuation of Benefits” notice and will not need to complete an annual review form.
If continued eligibility cannot be verified with available data, the member will receive an annual review form to complete. The annual review form must be completed and returned within 60 days. The return deadline date will be included in the information the member receives.
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.
Members should check their mail regularly and follow the instructions in any notice they receive from Healthy Connections Medicaid. Annual review updates will also be posted on social media channels (@SCMedicaid on Facebook and Twitter) and the SCDHHS website.
SCDHHS has also created a web page where Healthy Connections Medicaid members can find information about Medicaid annual reviews. This webpage contains a link to the online Change of Address tool, which members can use to submit address changes, upload requested information, and check their annual review status.
How can providers help?
Providers can help by relaying consistent and simple messages to Medicaid members. SCDHHS has developed materials to facilitate communications in a communications toolkit. The toolkit is posted on the Resources page on the SCDHHS website.
Providers are also encouraged to direct members to the Select Health Tried and True, Time to Renew member redetermination webpage for more information.
Your Select Health Provider Network Account Executive can also provide copies of flyers, posters, and provider frequently asked questions (FAQ) to assist you with communicating with Medicaid members.
Still have questions or need more assistance?
For additional assistance, please contact the SCDHHS Provider Service Center from 7:30 a.m. to 5 p.m., Monday through Thursday, and 8:30 a.m. to 5 p.m. on Friday, or email: annualreviews@scdhhs.gov. Providers can also submit a request for someone from SCDHHS to present to your organization about annual reviews via this email.
COVID-19 policy flexibilities
Guidance on Medicaid policy flexibilities that were issued and were specifically related to the federal PHE is available at www.scdhhs.gov/covid19. Please email covid@scdhhs.gov with questions about COVID-19 policy flexibilities.