South Carolina Department of Health and Human Services Forms

The South Carolina Department of Health and Human Services (DHHS) is responsible for providing various health and human services to the residents of South Carolina. Their primary objective is to improve the health and well-being of individuals and families in the state. The DHHS provides services such as Medicaid, health insurance programs, food and nutrition assistance, child care services, child protective services, and programs for individuals with disabilities. They also oversee public health initiatives, including disease prevention and control, vital records, and environmental health programs. Overall, the DHHS aims to promote the overall health and quality of life for individuals and communities in South Carolina.

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Documents:

67

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This Form is used for giving permission to healthcare providers in South Carolina to share your health information with specified individuals or organizations.

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This form is used for the annual review of the South Carolina Medicaid Program in South Carolina.

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This form is used for applying for presumptive eligibility in South Carolina through the Department of Health and Human Services.

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This Form is used for applying for Medicaid Family Planning Coverage in South Carolina through the DHHS. It is a document specifically for residents of South Carolina who are seeking coverage for family planning services under Medicaid.

This form is used for submitting additional information related to a tuberculosis (TB) referral application in the state of South Carolina.

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This document is used for enrolling in the South Carolina Trading Partner Agreement and Remittance Advice program.

This document is an agreement for parents, caregivers, or guardians to participate in community support services provided by Rehabilitative Behavioral Health Services (RBHS) in South Carolina.

This form is used for referring individuals in South Carolina to rehabilitative behavioral health services.

This document for parents, caretakers or legal guardians to consent for participation in community support services for behavioral health and rehabilitation in South Carolina.

This form is used for requesting a limit exception for rehabilitative behavioral health services in South Carolina.

This document provides guidelines on how vendors and clearinghouses can register and establish a trading partner relationship in the context of conducting business in South Carolina. It includes steps for enrollment and details about the agreement process.

This form is used for disclosing ownership and control interests in South Carolina as required by the DHHS (Department of Health and Human Services).

This document is for enrolling in the South Carolina Trading Partner Agreement. It is used to establish a partnership between two parties for trading purposes.

This document is used for establishing agreements between preceptors and protocols in South Carolina.

This document contains guidelines about enrolling in the South Carolina Trading Partner Agreement/Remittance Advice program. It includes information on how to participate and what is expected when it comes to trading and financial transactions within South Carolina.

This document provides a detailed report of Medicaid credit balance claims in South Carolina. It helps track and manage credit balances for Medicaid recipients in the state.

This Form is used to request information under the Freedom of Information Act in the state of South Carolina.

This document is a certification form used for contracts, grants, loans, and cooperative agreements in the state of South Carolina. It ensures that the recipient of the funds adheres to the necessary requirements and regulations.

This document is a certification statement required by the Drug-Free Workplace Act in South Carolina. It confirms that a company or organization is in compliance with the Act's requirements for maintaining a drug-free workplace.

This Form is used for minority-owned businesses in South Carolina to participate in state procurement opportunities.

This form is used to notify individuals in South Carolina about the upcoming family planning review.

This Form is used for the annual review of Aged, Blind, or Disabled Individuals (ABD) in South Carolina. It helps determine eligibility for assistance programs.

This Form is used for providing additional information for specific Medicaid programs in South Carolina.

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