South Carolina

POLICY

South Carolina adds member populations to managed care for medical services

SCDHHS moved medical services for additional Healthy Connections members into managed care effective January 1, 2026, while waiver services remain fee-for-service.

Precapture analysis

Plans need strong managed-care/waiver coordination, transition, authorization, encounter and provider-communication capabilities.

• South Carolina Health & Managed Care Plans
• Select Health provider alert — Medicaid carve-in for waiver and nursing-facility populations