Is South Carolina an expansion state?

South Carolina has not adopted the adult expansion in the KFF tracker. Source: KFF Status of State Medicaid Expansion Decisions, as of October 2026, last checked 2026-10-15. KFF is not a government agency.

How do I report work hours in South Carolina?

Tell the state Medicaid office. CMS does not publish one national form. If the state asks for proof, the June 1, 2026 fact sheet says you get 30 days.

Medicaid work requirements 2027 in South Carolina

Medicaid work requirements in South Carolina start January 1, 2027. Nebraska is the only early start we verified, on May 1, 2026. The rule covers many adults in the expansion group. Children, pregnancy, and some caregivers are exempt. We do not guess another state's early date. This site does not approve or deny benefits.

Simple answer

The national start is January 1, 2027.

South Carolina has not adopted the adult expansion in the KFF tracker. The national start is January 1, 2027. We did not verify an earlier start date for South Carolina.

How old are you?

Are you pregnant or in the postpartum Medicaid months?

Do you have Medicare?

Do you care for a child age 13 or younger, or for a person with a disability?

Do you have a serious health limit, a disability, or a substance use disorder?

Are you an American Indian, Alaska Native, Urban Indian, or California Indian person under the bulletin's definition?

Does your household get SNAP or TANF and already follow that program's work rule?

Are you under 26 and did you age out of foster care?

Are you a veteran with a total disability rating?

Are you in a drug or alcohol treatment program?

Are you in jail, or were you released in the last 90 days?

Do you already have about 80 hours a month, half-time school, or at least $580 from work in a month?

Simple answer

Type an age to see the rule.

The CMS fact sheet covers non-pregnant adults ages 19 through 64 in the expansion group or in some waiver plans.

How many hours?

The December 8, 2025 CMS bulletin says 80 hours a month of work, community service, a work program, or a mix. Half-time school can also count. The same bulletin's wage example is $7.25 times 80 hours, which is $580 in a month.

How to report

Tell the state Medicaid office. CMS does not publish one national form. Watch your mail. If the state asks for proof, the June 1, 2026 fact sheet says you get 30 days. Do not type a login, a Medicaid ID, or a card number on this website.

Medicaid guide for South Carolina Check benefits

This quiz stays on this page. It can include health and family details, so we do not save the answers. It is not an application and it is not a decision.

Expansion and start date

South Carolina has not adopted the adult expansion in the KFF tracker.

42 CFR 435.559 sets the national date at January 1, 2027. A state may start sooner, or ask CMS for a good-faith delay that cannot run past December 31, 2028. We did not verify an early start or a delay for South Carolina. The only early start we verified is Nebraska.

CMS says the rule does not apply in a state that has not adopted the adult group and does not cover adults through a qualifying waiver plan. We did not verify a waiver plan for South Carolina.

KFF expansion tracker, last checked 2026-10-15. CMS fact sheet, last checked 2026-10-16.

Other tools in South Carolina

See Medicaid rules in South Carolina Check SNAP work rules in South Carolina Check benefits South Carolina cost and towns

Last checked: October 16, 2026

Sources

CMS fact sheet, Medicaid community engagement interim final rule Dated 2026-06-01.
CMCS informational bulletin, December 8, 2025 Dated 2025-12-08.
Nebraska DHHS Medicaid work requirements Nebraska start 2026-05-01.
KFF Status of State Medicaid Expansion Decisions, as of October 2026 KFF is not a government agency. Expansion yes or no uses this tracker.

What changed

June 1, 2026. CMS dated the community engagement fact sheet. The national start on that page is January 1, 2027.
May 1, 2026. Nebraska's health department page says its Medicaid work requirements started May 1, 2026. No other early start is verified.
December 8, 2025. CMCS dated the informational bulletin used for exclusions and the example amounts.