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Home→Agencies→Medicaid Estate Recovery→South Carolina

Medicaid Estate Recovery in South Carolina

SCDHHS recovers Healthy Connections Medicaid costs for long-term care — nursing facility, home and community-based, and related hospital and prescription services — from the estates of recipients who were 55 or older when they received that care, and from recipients of any age who were institutionalized at death. A claim is filed only when the estate is worth more than $25,000.

OverviewWhen someone dies

Medicaid Recovery

South Carolina

scdhhs.gov/estate-recovery→

Administering agency

South Carolina Department of Health and Human Services — Medicaid Estate Recovery

Phone(803) 898-2932
WebsiteVisit website →

Authority

S.C. Code 43-7-460 (and 43-7-410 et seq.); 42 U.S.C. 1396p(b)

Verified May 2026

Medicaid Estate Recovery in South Carolina: key facts

Recovery scope
Nursing facility services, home and community-based services, and the hospital and prescription drug services provided to people in those settings.
Who is subject
Recipients age 55 or older when they received the care, and recipients of any age who were patients in a nursing facility or other medical institution at death.
Estate threshold
A claim is filed only when the deceased recipient's estate is worth more than $25,000. The Medicaid claim ranks below funeral expenses, taxes, and attorney fees.
Recovery does not apply
When the recipient is survived by a spouse, or by a child under age 21, or by a child who is blind or permanently disabled. An undue-hardship waiver may also apply.

When someone dies

Steps after a death in South Carolina

5-step process for South Carolina Department of Health and Human Services — Medicaid Estate Recovery.

View details →

Medicaid Recovery

South Carolina

scdhhs.gov/estate-recovery→

Administering agency

South Carolina Department of Health and Human Services — Medicaid Estate Recovery

Phone(803) 898-2932
WebsiteVisit website →

Authority

S.C. Code 43-7-460 (and 43-7-410 et seq.); 42 U.S.C. 1396p(b)

Verified May 2026