South Carolina Code of Regulations
Chapter 126 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
Article 3 - MEDICAID
Subarticle 1 - SCOPE OF THE PROGRAM
Section 126-300 - General
Current through Register Vol. 48, No. 9, September 27, 2024
A. Clients eligible for Medicaid may obtain medically necessary services from providers enrolled in the program.
B. Medicaid recipients who are residents of South Carolina and referred for medical services outside "South Carolina Medicaid Services Area" must receive prior approval for these services from the state agency administering the Medicaid Program. "South Carolina Medicaid Services Area" is South Carolina and adjacent areas within twenty-five (25) miles of its borders.
C. Co-payment may be required for services as specified in the South Carolina State Plan for Title XIX (Medicaid).
D. Services are subject to limits and procedural requirements described in the South Carolina State Plan for Title XIX (Medicaid), provider manuals, Medicaid Bulletins, and federal directives.
