Medicaid
South Carolina Medicaid eligibility
South Carolina has not expanded Medicaid to all low-income adults. Parents and caretakers qualify up to 62% FPL; children and pregnant women have higher limits.
Source: Medicaid.gov: Medicaid, CHIP, and Basic Health Program Eligibility Levels (state decisions as of 2023-12-01, read 2026-10-23), as of December 1, 2023.
Run it in Rivvi
Explain South Carolina Medicaid limits to a client or patient
Rivvi drafts a plain-English note from the medicaid.gov table, with the source linked.
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Quick facts
- ACA expansion
- No
- Adults 19 to 64
- Not covered (no expansion)
- Parents
- 62% FPL
- Pregnant women
- 194% FPL
- Children 6 to 18
- 208% FPL
- State agency
- South Carolina Medicaid agency
South Carolina income limits by group
| Group | Income limit | Monthly, household of 1 (2026) |
|---|---|---|
| Adults 19 to 64 (expansion group) | Not covered (no expansion) | |
| Parents and caretaker relatives | 62% FPL | $824 |
| Pregnant women (Medicaid) | 194% FPL | $2,580 |
| Pregnant women (CHIP) | No separate program | |
| Children under 1 (Medicaid) | 208% FPL | $2,766 |
| Children 1 to 5 (Medicaid) | 208% FPL | $2,766 |
| Children 6 to 18 (Medicaid) | 208% FPL | $2,766 |
| Children (separate CHIP) | No separate program |
Medicaid.gov notes that MAGI rules generally adjust income by an amount equal to a 5% FPL disregard, so a person can qualify with income about 5 percentage points of FPL above the standard shown. Other rules apply too, such as citizenship, immigration status, and state residency. The state agency makes the decision.
Notes from medicaid.gov
- The state has a section 1115 demonstration , which provides Medicaid coverage to some additional low-income adults. In some cases, coverage: Includes limitations on eligibility and benefits. Includes an enrollment cap.
Related pages
Questions
Who qualifies for Medicaid in South Carolina?
South Carolina has not expanded Medicaid to all low-income adults. Parents and caretakers qualify up to 62% FPL; children and pregnant women have higher limits.
Did South Carolina expand Medicaid?
Medicaid.gov lists South Carolina as "No 9" for the adult expansion group.
How do I apply for Medicaid in South Carolina?
Apply any time through the state Medicaid agency or with a HealthCare.gov Marketplace application, which sends your information to the state if you may qualify.