---
title: "South Carolina Nursing Home Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/south-carolina/nursing-home-medicaid/
description: "Nursing-facility Medicaid uses a CLTC level-of-care review and a $60 monthly personal-needs allowance."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
South Carolina · Nursing Home Coverage

# South Carolina Nursing Home Medicaid

Last updated 2026-10-20

Nursing-facility care in South Carolina is delivered as a Healthy Connections Medicaid service. SCDHHS describes these facilities as providers of round-the-clock licensed nursing care for people who need either skilled or intermediate-level support, with the whole arrangement administered through the agency's long-term-living structure.

Getting into a facility on Medicaid requires clearing a level-of-care review, which in South Carolina is conducted by Community Long Term Care (CLTC) nurse consultants. The possible outcomes of that review are a finding of skilled or intermediate level of care. A hospital's recommendation or evident medical need at home may be compelling, but it's this state clinical review — not the hospital's opinion — that actually governs whether Medicaid pays for the facility stay.

Once approved, a resident keeps a personal-needs allowance of $60 per month from their own income.

## South Carolina figures

- Nursing-facility personal-needs allowance: $60/month

## Sources and official resources

- [SCDHHS: Nursing Facilities](https://www.scdhhs.gov/resources/programs-and-initiatives/long-term-living/nursing-facilities)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full South Carolina guide](https://fundingltcmarketplace.com/states/south-carolina/)