E-Forms for South Carolina Residents
The e-forms for Medicaid (Long Term Care in the community or Nursing Home Care) and GAPS (Gap Assistance Pharmacy Program for Seniors), are for SC residents only.
These forms are easy to complete on-line and can save you time. You are able to save your application and go back to it at a later time to complete it or to make changes to your information. We will continue to add new forms in the future. The e-forms eliminate the need for you to complete the same information on form after form by securely saving your information and automatically filling in similar fields on additional forms.
The forms are divided into steps to make it easier for you to complete. Each page has a button that can be clicked to go to the next question, back to the previous question, or to close the form. You can quit at any time by closing the form and the system will prompt you to cancel, save or print your data.
In order to save your information, you must Register.
SC Medicaid Application form and informationSC GAPS Application form and information
Note: When you print your form, it will look different from the form that you filled in. It will print using a DHHS form with all your information included.
