Orangeburg County (cont.) Medical Center of North 4631 Savannah Hwy North, SC 29112 (803) 247-3900 R. Dale Padgett, MD RHC 1499 John C. Calhoun Drive Orangeburg, SC 29115 (803) 533-0007 Singleton Health Center 1773 Village Park Drive Orangeburg, SC 29118 (803) 535-3600 LOW COUNTRY HEALTH DISTRICT (Beaufort, Colleton, Hampton, Jasper) Beaufort County Beaufort Family Practice 974 Ribaut Road Beaufort, SC 29902 (843) 524-3344 Colleton County Walterboro Family Practice 107 Church Street Walterboro, SC 29488 (843) 549-1558 Cottageville Medical Center 370 Ackerman Drive Cottageville, SC (843) 835-2121 Hampton County Harrison Peoples Health Care Center 441 Second Street, East Estill, SC 29918 (803) 625-0161 Harrison Peoples Health Care Center 1000 Pine Street Varnville, SC (803) 943-5228 Jasper County Coastal Medical Associates 43 Coastal Highway Hardeeville, SC 29927 (843) 784-3101 Family Health Center/Ridgeland Ridgeland, SC 29936 (843) 717-2600 Coastal Medical Associates Ridgeland, SC (843) 717-2590 PALMETTO HEALTH DISTRICT (Fairfield, Lexington, Newberry, Richland) Fairfield County Fairfield Medical Associates 880 West Moultrie Street, Suite 200 Winnsboro, SC 29180 (803) 635-6461 Lexington County Lexington Medical Center – Swansea 935 West Second Street Swansea, SC 29160 (843) 568-2000 Lexington Medical Center – Batesburg-Leesville 338 E. Columbia Avenue Batesburg-Leesville, SC 29070 (803) 604-0066 PEE DEE HEALTH DISTRICT (Chesterfield, Darlington, Dillon, Florence, Marlboro, Marion) Darlington County Griffin Family Practice 121 E. Main Street SC 29069 (843) 326-5860 McLeod Family Medicine Center 701 Cashua Ferry Road Darlington, SC 29532 (843) 398-8500 Pee Dee Health Center, PA 201 Cashua Street Darlington, SC 29532 (843) 799-1700 Dillon County Latta Internal Medicine 3263 Highway 301 South Latta, SC 29565 (843) 752-2091
Assisted Living Group Care for a person who cannot remain in his own home but does not yet meet Skilled or Intermediate Level of Care. SSI Authorization Period Period for which all factors of eligibility have been established and the beneficiary is authorized to receive a Medicaid card. All Authorized Representative Any individual who alleges that he is acting on behalf of an applicant/beneficiary. All Automated Notice A notice produced and mailed by MEDS or Cúram to an applicant/beneficiary based on codes entered by the Eligibility Worker. All Letter A statement to an individual from a governmental or private agency indicating benefits for which he/she is eligible. All Bed Hold Ability for Medicaid to continue vendor payment to a Long Term Care facility for a limited time if certain criteria are met. SSI BENDEX Beneficiary Data Exchange System, a computer printout listing the amount of an individual's Social Security benefits. All Beneficiary A term used to refer to an individual who is eligible for Medicaid. All Black Lung Payments to a disabled worker, dependents, or survivors resulting from exposure to coal dust. All Blue Book Value An official car valuation by the NADA or Kelly Blue Book SSI Boarder A person who lives with the applicant/beneficiary and pays a set amount for a room and meals. All Brown Lung Benefits Payments made to persons disabled by lung disease resulting from exposure to raw cotton dust. All Budget Group Persons, who are related by blood, adoption or marriage, and whose needs, income and/or resources, are considered in the eligibility determination of one or more persons in the group. All Bureau of Citizenship and Immigrations Services (BCIS) Part of the Department of Homeland Security. As of November 1, 2003, the name has been changed to US Citizenship and Immigration Services (USCIS). Most of the functions it performed were formerly in the jurisdiction of the Immigration and Naturalization Service (INS) that was part of the Department of Justice. All Burial Funds Funds clearly designated for burial related expenses. May include: burial contracts, cash, bank accounts, stocks, bonds, or CD. SSI Burial Insurance Contract whose terms preclude the use of its proceeds for anything other than payment of the insured’s burial expenses. SSI
Earned Income Tax Credit Supplement to the earnings of the working poor. An eligible individual can choose to receive the credit in advance payments added to his paycheck or in a lump sum when he files his income tax return. All Effective Date The first day of the authorization period for Medicaid. All Elective Share South Carolina Probate Code provides that the spouse is entitled to 1/3 of the estate after deductions and expenses, even if the Deceased spouse’s will left the spouse a lesser or no amount. SSI Eligibility The status of an individual qualifying for Medicaid. All Eligibility Quality Assurance A management tool used to determine the accuracy of eligibility and evaluation of needed corrective action. All Emancipated Minors Children who are no longer legally dependent upon their parents/guardians. MAGI Emergency Services Medicaid Eligibility for Medicaid by non-qualified aliens is limited to receipt of Medicaid on the day an emergency existed. An emergency is defined as and delivery or treatment after the sudden onset of a medical condition manifesting itself by acute systems of sufficient severity, including severe pain, such that absence of immediate medical attention could reasonably be expected to result in placing the patient’s health in serious jeopardy, or serious impairment to bodily function, or serious dysfunction of any bodily organ or part. All Enumeration The process of obtaining a Social Security Account Number. All Equity The Fair Market of a resource owned by a person, minus the amount of debts, liens, or other encumbrances. All Term Definition Program Area Equitable Ownership No legal title for property exists for an individual; however, an informal agreement exists with the actual titleholder because the individual has invested money in the property or in improvements to the property, which he can verify. SSI Estate Recovery A claim filed against the estate of a deceased Medicaid beneficiary when Medicaid has paid for long-term care services provided either in a Nursing Home or through Home and Community Based Services Waiver. SSI
Manual Notices In certain situations, the Eligibility Worker must complete and mail the appropriate notice informing the applicant/beneficiary of changes or adverse actions to be taken in his case. All Means Tested Program An assistance program in which an applicant’s financial circumstances are considered. All Medicaid Cap An amount to 3 times the Federal Benefit Rate for SSI. This is a special income limit used for Institutional Medicaid Programs. SSI Medicaid Eligible Enrolled in the Carolina Medicaid program. All Medicare A program of health insurance for aged and disabled individuals who meet the program’s eligibility requirements. Title XVIII of the Social Security Act. All Migrant Farm Worker A person who moves with the migrant stream in order to follow seasonal farm work employment, and does not return to his permanent home each night. All Military Allotments Benefits received by dependents of military personnel. All Miller Trust (Refer to .) SSI Minor Mother A mother below a certain age (18) as defined by a specific program. MAGI Misrepresentation An intentional or unintentional statement giving incomplete, false, or misleading information. All Misutilization Improper use of services provided under Medicaid All Modified Adjusted Gross Income (MAGI) The figure used to determine eligibility for lower costs in the Marketplace and for Medicaid and CHIP. Generally, modified adjusted gross income is your adjusted gross income plus any tax-exempt Social Security, interest, or foreign income you have. All Mortgage A pledge or security of particular real estate for the payment of a debt or the performance of some obligation within a specified period. SSI Multi-generational Family Household comprised of a child, the mother and grandmother. Budget Group composition depends on who is applying for coverage. MAGI Multiple Household A household made up of more than one family unit. This does not include room and board situations, as persons in such living arrangements are considered separate households. All Municipal Bond Obligation of a State or a locality (county, city, town, village or special purpose authority such as a school district). SSI
Residence Requirement that an applicant/beneficiary live in South Carolina voluntarily with the intent to remain in the state. All Residual Beneficiary Is not a current beneficiary but will receive the residual benefit of the trust contingent upon the occurrence of a certain event (Refer to, the death of the primary beneficiary). SSI Term Definition Program Area Resource Those assets, including real and personal property, which an individual or couple owns; can apply, either directly or by sale or conversion, to the basic needs of food, clothing, and shelter; and is not legally restricted from use for support and maintenance. May be liquid or non liquid. SSI Resource Exclusions Resources whose value, or part of the value, is not included in the eligibility determination process. SSI Resource Limit The limit on the value of countable resources an individual or couple may own and still be eligible for Medicaid. The limit varies as to Payment Category. SSI Retirement Funds Annuities or work-related for providing income when employment ends. SSI Retirement, Survivors, Disability Insurance (RSDI) A program administered under Title II of the Social Security Act through the Social Security Administration which pays benefits to persons who have contributed enough quarters to the Social Security System, or who are the dependents of one who has contributed to the system, when they are aged or retired, are a surviving spouse or dependent child, or are disabled. All Retroactive period 3 calendar months before the month in which the Medicaid application was filed. All Retrospective Budgeting Computing income and resources, if applicable, for the benefit month based on actual income in a previous month. All Revocable Burial Contract An agreement which can be reversed and money returned or that can be sold. SSI Revocable Trust A contract in which terms can be altered. All of Recovery (Third Party Liability) The responsibility of an individual, institution, corporation, or public or private agency to pay for all or part of medical costs of an applicant/beneficiary. All Roomer A person who lives with the applicant/beneficiary and pays a set amount for a room. All Sanctionable Transfer A change of ownership for compensation of less than Fair Market Value. SSI
Stepparent A person married to a natural parent who is not the legal parent of the child. All Stocks Shares of stock represent ownership in a business corporation. Their value shifts with demand and may fluctuate widely. SSI Subpoena A written summons requiring appearance in to give testimony. All Substantial Gainful Activity (SGA) For disability purposes, gross earnings equal to or exceeding an amount set by Social Security SSI Supplemental Security Income (SSI) A Federal assistance program administered by the Social Security Administration for aged, and disabled persons under Title XVI of the Social Security Act to guarantee a certain level of income. SSI beneficiaries have contributed nothing or not enough to the Social Security System to be able to receive benefits on their own accounts. All Support Payments Money paid by an absent parent. All Suspected Fraud Basis for belief that an intentional misrepresentation may have occurred. All TANF (Temporary Assistance for Needy Families) The federal block grant that funds the Family Independence (FI) program administered by the Department of Social Services. FI Tax Assessed Value Value that the local tax office has placed upon real or personal property SSI TEFRA (Tax Equity and Fiscal Responsibility Act) Program to allow disabled children who are at risk for institutionalization to receive medical care at home. Also called Katie Beckett. SSI Tentative Decision A preliminary decision. All Terminated Case When assistance has been previously terminated. All Termination The ending of specific benefits. All Third Party Liability (Refer to .) All Party Payment A monetary payment made on behalf of a household/ individual by an outside party. All Third Party Recovery Recovery of all or part of a beneficiary’s medical cost from a responsible source such as private insurance. All Timely Notice A written notice to inform the beneficiary of intended action. All
Aiken Community Medical Clinic of Aiken County 803.226.0631 Anderson Anderson Free Clinic Mail- PO Box 728 Anderson, SC 29622 864.226.1294 dir –.261.4542 864.261.4543 Honea Path (satellite) Mail- PO Box 728 Anderson, SC 29622 864.226.1294 864.261.4543 Beaufort (Hilton Head) Volunteers in Medicine Clinic 843.681.6612 843.681.6614 Beaufort Good Neighbor Free Medical Clinic of Beaufort 843.470.9088 Charleston (St John & Wadmalaw Island) Barrier Islands Free Medical Clinic 843.266.9800 843.266.9801 Charleston Crisis Ministries Health Clinic 843.723.9477 843.723.7563 Charleston (North Charleston) Dream Center Clinic 843.375.1099 843.767.7563 Charleston (North Charleston) Harvest Free Medical Clinic 843.747.3526 843.747.3527 Chester Good Samaritan Medical Clinic 803.385.6332 803.385.3243 Chesterfield Mercy In Me Free Medical Clinic Darlington Free Medical Clinic of Darlington County 843.398.0060 843.398.0401 Hartsville (satellite) 843.332.0422 843.332.5445 Edgefield Peachtree Medical Center 803.637.3630 Florence Mercy Medicine Clinic 843.667.9947 dir – 667.5023 843.667.0455 Florence Lake City Free Medical Clinic 843.374-2085 843.374.2089 Georgetown (Pawleys Island) Smith Medical Clinic at Baskervill Mail- PO Box 1740 Pawleys Island, SC 843.237.2672 843.237.0369
Calhoun Ms. Elaine Golden 102 Courthouse Drive, Suite 105 St. Matthews, South Carolina 29135 Telephone: (803) 874-2679 Charleston Ms. Carolyn Smalls County of Charleston, MIAP 4045 Bridge View Drive North Charleston, SC 29405 Telephone: (843) 202-6986 Fax: (843) 202-6961 Reconsideration Designee Ms. Gwendolyn Parilla County of Charleston, MIAP 4045 Bridge View Drive North Charleston, SC 29405 Telephone: (843) 202-6976 Fax: (843) 202-6961 Cherokee Ms. Deloris Blackwell Peachtree Center 210 N. Limestone Street Gaffney, South Carolina 29340 Telephone: (864) 487-2792 Chester Ms. Phyllis Baker Chester Regional Medical Center 1 Medical Park Drive Chester SC, Telephone: (803) 581-3151 Ext. 272 Chesterfield Ms. Crystal Britt Chesterfield General Hospital 711 Chesterfield Highway Cheraw, South Carolina 29520 Telephone: (843) 591-9290 Ext. 3304 Clarendon Ms. Hanah Ali Clarendon Memorial Hospital Post Office Box 550 Manning, South Carolina 29102 Telephone: (803) 435-3107 Colleton Ms. Joy Westbury Colleton County DHHS Post Office Box 110 Walterboro, South Carolina 29488 Telephone: (843) 584-4068 Fax: (843) 549-1172 Darlington Mr. Sean Adams Darlington County DSS 106 North Main Street Darlington, South Carolina 29532 Telephone: (843) 398-4420 Ms. Crystal Brown Carolina Pines Regional Med. Center 1304 W. Bobo Newson Hwy Hartsville, South Carolina 29550 Telephone: (843) 339-4144 Dillon Mrs. Gloria Hamilton McLeod Medical Center - Dillon 301 E. Jackson Street Dillon, South Carolina 29536-1327 Telephone: (843) 487-1534 Dorchester Ms. Darlene Atkins Dorchester County DHHS 216 Orangeburg Road Charleston, South Carolina 29483 Telephone: (843) 821-0444 ext. 3011
Edgefield Edgefield County Hospital Post Office Box 590 Edgefield, South Carolina 29824 Telephone: (803) 637-1152 Fairfield Ms. Charlene McLain Fairfield Memorial Hospital Post Office Box 620 Winnsboro, Carolina 29180 Telephone: (803) 712-0329 Florence Ms. Jannie Mae Fleming Pee Dee Community Action Agency Post Office Box 12670/2685 S. Irby Street Florence, South Carolina 29504 Telephone: (843) 678-3400, Ext. 122 Georgetown Ms. Deborah Thomas Georgetown Memorial Hospital Post Office Box 421718 Georgetown, South Carolina 29442 Telephone: (843) 527-7154 Fax: (843) 520-8403 Greenville Ms. Jacqueline Turner Greenville Hospital System 701 Grove Road Greenville, Carolina 29605-4295 Telephone: (864) 454-8545 Greenwood Ms. Linda Wiley Self-Regional Healthcare 1325 Spring Street Greenwood, South Carolina 29646 Telephone: (864) 725-4128 Hampton Ms. Rose Ann Moore Hampton Regional Medical Center 598 West Carolina Avenue Post Office Box 338 Varnville, Carolina 29944 Telephone: (803) 943-2771 Horry Mr. Dwayne Graham Horry County 1515 Fourth Avenue Conway, Carolina 29526 Telephone: (843) 915-7032 Jasper Ms. Georgia DeLoach Jasper County Council Post Office Box 1509 Ridgeland, South Carolina 29936 Telephone: (843) 726-7815 Fax: (843)726-7966 Kershaw Ms. Lucy Keys Kershaw County Medical Center 1315 Roberts Street Camden, South Carolina 29020 Telephone: (803) 713-6371 Fax: (803) 713-6372 Lancaster Springs Memorial Hospital 800 West Meeting Street Lancaster, South Carolina 29720 Telephone: (803) 286-1449 Laurens Ms. Brenda Carter Laurens County DHHS Post Office Box 388 Laurens, South Carolina 29360 Telephone: (864)833-9260 Lee Mr. Thaddeus Dickey Lee County Courthouse Post Office Box 309 Bishopville, South Carolina 29010 Telephone: (803) 484-5341 ext. 340 Lexington NA
Marion Contract Ended Marlboro Ms. Ruthie Gooding Marlboro Park Hospital Post Office Box 738 Bennettsville, South Carolina 29512 Telephone: (843) 479-454-8531 McCormick Ms. Sandra Anthony McCormick County Government 326 Airport Road McCormick, South Carolina 29835 Telephone: (864) 852-2231 Newberry NA Oconee Ms. Donna Smith Oconee Memorial Hospital 298 Memorial Drive Seneca, South Carolina 29672-9499 Telephone: (864) 885-7147 Orangeburg Ms. Yesenia Robinson Ms. Emilie Sanders Orangeburg Regional Medical Center 3000 Saint Matthews Road Orangeburg, South Carolina 29118 Telephone: (803) 395-2829 Pickens Pickens County Administration PO Box 407 Liberty, SC Telephone: (864) 512-2163 Richland Ms. Brenda Martin Palmetto Richland Hospital Admissions and Registration Five Richland Medical Park Columbia, South Carolina 29203 Telephone: (803) 434-3834 Saluda Ms. Frances Jaynes 111 Law Range Saluda, South Carolina 29138 Telephone: (864) 445-4500 Ext. 2200 Spartanburg Ms. Susan Hicks Spartanburg County Indigent Care Services PO Box 566 Spartanburg, Carolina 29304 Telephone: (864) 562-4745 Fax: (864) 560-7056 Reconsideration Designee: Lynn McClure Spartanburg County Indigent Care Services 101 East Wood Street Spartanburg, South Carolina 29303 Telephone: (864) 560-2536 Fax: (864) 560-7056