Get the free HIPP Referral Form - SCDHHS.gov - scdhhs
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South Carolina Department of Health and Human Services HEALTH INSURANCE PREMIUM PAYMENT (HIP) PROGRAM REFERRAL FORM P.O. Box 100127 Columbia, SC 29202 803-264-6838 (O) 803-264-6847 (O) 803-462-2580
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What is hipp referral form?
The hipp referral form is a document used to refer a patient to the Health Insurance Premium Payment (HIP) Program, which helps low-income individuals and families pay for their health insurance premiums.
Who is required to file hipp referral form?
Healthcare providers or social service agencies who identify individuals or families that may be eligible for the HIP Program are required to file the hipp referral form.
How to fill out hipp referral form?
The hipp referral form can be filled out by providing the necessary information about the individual or family being referred, such as their demographics, income, and health insurance details.
What is the purpose of hipp referral form?
The purpose of the hipp referral form is to facilitate the enrollment of eligible individuals or families into the HIP Program and help them afford their health insurance premiums.
What information must be reported on hipp referral form?
The hipp referral form requires reporting of demographic information, income details, health insurance information, and other relevant data about the individual or family being referred.
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