Volunteer Training Information

 

Thanks for being a volunteer!

We appreciate your help in this effort. Thank you for being accurate when entering all information.
Your help ensures that all children in SC will receive the health care they deserve.

On this page, you will find all the forms that you will need.

INCOME CHART

Please print and add to your training manual. This chart has been updated to include not only the three major categories of Medicaid that affect children and families in SC, but also income limits for the Health Insurance Marketplace.

APPLICATION FORMS

Application for SC Healthy Connections Medicaid FM3400

Pending — Annual Review Form (Medicaid Renewal Application)

3308 Form Citizenship & Identity Copy Page

1282 Form Authorization for Release of Information/Authorized Representative

Step-by-Step Guide

Citizenship Requirements

OCCASIONAL USE FORMS

3298 Form Statement of Child’s Identity

2700 Form Medical Support Referral

1216 Form Voluntary Child Support Contribution

1245 Form Wage Statement

MARKETING MATERIALS

Palm Card

The palm card can be printed double-sided on 8-1/2 x 11 paper and then cut into four cards.

Think Again! Poster

The poster is sized to be printed on 8-1/2 x 11 paper so it is usable in a variety of locations.

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