Transferring Medicaid from Delaware to South Carolina
Think of it as two separate programs: Delaware Medicaid ends with your residency, and Healthy Connections begins with a new application. Nothing carries over automatically. Submit the South Carolina application as soon as you have an address there.
Warning: South Carolina has not adopted Medicaid expansion, so adults who qualified in Delaware under its expansion rules (up to 138% of the federal poverty level) may not qualify in South Carolina at all. Check South Carolina's categories before you move, and look at HealthCare.gov marketplace coverage as the fallback.
Official South Carolina Medicaid agency: South Carolina Department of Health and Human Services ↗ (application page)
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell Delaware Health and Social Services, Division of Medicaid and Medical Assistance you are leaving
Report your move and ask for your case to be closed effective the end of the month you leave. Medicaid cannot cover you in two states at once.
Delaware Health and Social Services, Division of Medicaid and Medical Assistance ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with South Carolina Department of Health and Human Services as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days (90 if a disability decision is needed).
Online application ↗ - 5
Ask about retroactive coverage
Most states can pay eligible medical bills from as early as the third month before the month you apply, so ask when you apply if you had care during the gap. For applications filed on or after January 1, 2027, federal law (Public Law 119-21) shortens this to the month before the month you apply for adults in the expansion group and the second month before the month you apply for everyone else.
Delaware vs South Carolina: the numbers that decide it
| Delaware (old state) | South Carolina (new state) | |
|---|---|---|
| Program name | Delaware Medicaid | Healthy Connections |
| Agency | Delaware Health and Social Services, Division of Medicaid and Medical Assistance | South Carolina Department of Health and Human Services |
| ACA Medicaid expansion | Yes — adults covered on income | No — adults need a category |
| Adult income limit | 138% of the federal poverty level | no income-only route for adults |
Monthly income limits by household size: Delaware vs South Carolina
| Household size | Delaware | South Carolina |
|---|---|---|
| 1 person | $1,836 | No income-only adult limit |
| 2 people | $2,489 | No income-only adult limit |
| 3 people | $3,142 | No income-only adult limit |
| 4 people | $3,795 | No income-only adult limit |
| 5 people | $4,449 | No income-only adult limit |
| 6 people | $5,102 | No income-only adult limit |
Limits for adults, computed from each state's published % of the 2026 HHS poverty guidelines and rounded up to the dollar. Children, pregnancy, and 65+/disability rules differ; each state's own chart controls and may still show 2025 figures. Full tables: Delaware · South Carolina · 2026 poverty guidelines.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full Delaware → South Carolina checklistCommon questions
Can I use my Delaware Medicaid in South Carolina while I wait?
Generally no. Delaware Medicaid only pays providers for Delaware residents, and out-of-state care is limited to emergencies. Once you live in South Carolina, you need South Carolina coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in South Carolina?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on South Carolina's income and category rules from the day you become a resident. The application itself takes up to 45 days (90 if a disability decision is needed).
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the Delaware case effective your move month.
Where do I actually apply in South Carolina?
Through South Carolina Department of Health and Human Services (online application linked above). Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
- Moving back: South Carolina to Delaware Medicaid
- Medicaid in Delaware: leaving or arriving
- Medicaid in South Carolina: leaving or arriving
- Moving with Medicaid: every state
- Delaware to Georgia Medicaid
- Delaware to Indiana Medicaid
- Delaware to Arizona Medicaid
- Delaware to Connecticut Medicaid
Other benefits on the same move
- SNAP: Delaware to South Carolina
- WIC: Delaware to South Carolina
- Unemployment: Delaware to South Carolina
- TANF: Delaware to South Carolina
Terms on this page: Federal poverty level (FPL) · Medicaid expansion · Retroactive Medicaid coverage
Official sources
Every fact above was checked against these official pages. Last verified .
- Delaware ASSIST (online application) — accessed 2026-08-08
- DHSS Division of Medicaid and Medical Assistance — accessed 2026-08-08
- SCDHHS — Getting Started (how to apply) — accessed 2026-08-08
- SCDHHS — Program Eligibility and Income Limits — accessed 2026-08-08