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Web1 09-01-02 Medicaid Provider Manual SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAID POLICY AND PROCEDURES MANUAL CHAPTER 104 – Appendix Page 82 South Carolina Department of Health and Human Services Medicaid Policy And Procedures Manual Chapter 104 – Appendix Page 64 100- 4 … http://www1.scdhhs.gov/mppm/word/SC_Medicaid_Transition_Policy.docx WebA South Carolina Medicaid application form will require a significant amount of personal information in order to determine the applicant’s eligibility. This personal information on the application for Medicaid covers areas including citizenship, household composition and residency, to name just a few. gsa government rate lodging