Based on SC MPPM Policy Manual

Screen Medicaid eligibility for South Carolina nursing home residents

Evaluate income, assets, and transfer-of-asset history against SC Medicaid Long-Term Care rules. Get a detailed PDF summary in minutes.

No account needed PDF in minutes 2024-2025 SC policy

How it works

1

Enter applicant details

Name, county, income, assets, and any transfer history — guided step by step.

2

We evaluate the rules

Income cap, resource limits, spousal impoverishment, and 5-year lookback are checked automatically.

3

Get a PDF summary

A clear, branded eligibility summary with findings and policy references you can save or share.

For Nursing Home Staff

Log in to save and manage patient screenings. Track multiple residents and revisit eligibility assessments over time.

  • Save patient records
  • Manage multiple screenings
  • Revisit & update anytime

What the screening evaluates

Income Verification

Compares monthly income against the SC institutional income cap; flags Miller Trust needs.

Asset Assessment

Evaluates countable resources against limits, including spousal impoverishment (CSRA).

Transfer of Assets

5-year lookback with penalty-period calculation per uncompensated transfers.

MPPM Compliance

Findings reference SC MPPM policy sections for each determination.

SC Medicaid Estate Recovery (MERP)

Estate Recovery rules to know

After a Medicaid recipient passes away, SC may recover benefits paid from their estate. These are the key rules that shape that process.

Age 55 and older

Recovery applies to Medicaid Long-Term Care benefits paid on behalf of individuals who were 55 or older when services were received.

Surviving spouse deferral

No recovery is made until after the death of the surviving spouse, if one exists at the time of the recipient's death.

Surviving child protections

Recovery is deferred while a child under 21, or a blind or disabled child of any age, survives the recipient.

Home subject to recovery

The recipient's home and other probate assets may be subject to recovery after death unless otherwise protected or exempt.

Limited to benefits paid

SC files a claim against the estate during probate; recovery is limited to the value of medical assistance paid by Medicaid.

Hardship waiver

Heirs may request a hardship waiver when recovery would cause undue hardship, subject to SCDHHS review and approval.

Estate recovery rules reflect federal MERP requirements and SC MPPM guidance. Consult SCDHHS or an elder law attorney for how recovery may apply to a specific estate.

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