Medicaid is a health and long-term care coverage program that is jointly financed by the state and federal government. Each state establishes and administers its own Medicaid program and determines the type, amount, duration and scope of services covered within broad federal guidelines. States must provide certain mandatory benefits and may choose to offer other optional benefits.
The South Carolina Department of Health and Human Services (SCDHHS) administers the Medicaid program in South Carolina. It ensures the availability of government-funded health care services for eligible members.
BlueChoice HealthPlan Medicaid, a managed care organization (MCO), provides health care benefits to Medicaid-eligible members with a focus on access, prevention and education.
We emphasize the member/provider relationship. This helps the member’s health care services begin at the primary care level, which:
- Increases access to primary and preventive care.
- Increases access to appropriate specialty care and improves overall coordination of care for members.
- Improves health outcomes and improves quality of life for our members.
- Improves the overall cost effectiveness of the Medicaid program and helps us be wise stewards of state dollars.
In addition, at no cost to members, BlueChoice HealthPlan Medicaid offers many value-added services not available through the traditional fee-for-service program.