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  • South Carolina Department Of Health And Human Services Family Planning Application Form

Get South Carolina Department Of Health And Human Services Family Planning Application Form

E my information with DHEC. Applicant s Signature Date Authorized Representative s Signature Date MAIL YOUR SIGNED FAMILY PLANNING APPLICATION TO THE LOCAL MEDICAID ELIGIBILITY OFFICE IN YOUR COUNTY. If you have questions or need help locating your local eligibility office, please call: 1-888-549-0820 (toll-free number) Gross Monthly Earned Income Standard Deduction Gross Unearned Income Child Care Deduction Net Family Income Income Limit - DHHS/DHEC USE ONLY - I have reviewed the sta.

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Family Planning is a limited benefit program, which provides coverage for preventive health care, family planning services and family planning-related services.

Birth control available on Site (providing up to one year of birth control supplies) Low or no-cost services for women, men and teens. Educational and counseling services. Pap smear exams.

Groups & Programs Low Income Families (LIF) Qualified Disabled & Working Individuals (QDWI) Specified Low Income Medicare Beneficiaries (SLMB) Medically Indigent Assistance Program (MIAP) Optional State Supplementation Program(OSS) Working Disabled Program(WD)

What services are covered? This program provides coverage for family planning-related health care including: Most FDA approved birth control methods, devices, and supplies including birth control pills, condoms, the patch, , IUDs and . Emergency contraception and follow-up care.

These are some of the many services provided: Birth control available on Site (providing up to one year of birth control supplies) Low or no-cost services for women, men and teens. Educational and counseling services.

Verifying Eligibility for Enrolled Members Providers can access information online to help determine if an individual is enrolled in Medicaid through the South Carolina Medicaid Web Portal, commonly known as the “web tool.” To access the web tool, please visit https://portal.scmedicaid.com/login .

It only covers services related to contraception, so Medicaid will pay only for one yearly exam in which you discuss contraception with your doctor, birth control, permanent sterilization procedures (vasectomy and tubal ligation), long-acting birth control devices and the first treatment for some sexually transmitted ...

Contraceptive methods MethodHow it worksMale condomsForms a barrier to prevent sperm and egg from meetingFemale condomsForms a barrier to prevent sperm and egg from meetingMale sterilization (Vasectomy)Keeps sperm out of ed semenFemale sterilization (tubal ligation)Eggs are blocked from meeting sperm16 more rows • Nov 9, 2020

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Get South Carolina Department Of Health And Human Services Family Planning Application Form
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
South Carolina Department Of Health And Human Services Family Planning Application Form
This form is available in several versions.
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2021 SC DHHS Form 400
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  • 2021 SC DHHS Form 400
  • Family Planning Form Pdf
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