Providers Enrolled As A Medicaid Provider
Medicaid beneficiaries have the right to choose their own physician, hospital,
pharmacy, or other medical provider.
The provider must also be willing to accept the Medicaid payment as payment in full.
Some Exceptions Are:
- The South Carolina Medicaid program limits prescription drugs
to four (4) prescriptions per month/per recipient age 21 and
over.
There is a $3.00 co-payment on each prescription drug
unless the recipient is exempt. For example, pregnant women
and children are not required to pay the $3.00 per prescription
co-payment. Prescription drugs are not limited for children
under age 21.
- The South Carolina Medicaid program has a freedom of choice
waiver to cover high-risk pregnant women. The women in the
waiver must receive their care from certain physicians and
delivery services at certain hospitals. The purpose of the
waiver is an attempt to have better birth outcomes.
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