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South Carolina Department of Health & Human Services


PO Box 8206
Columbia, SC 29202-8206
(803) 898-2500
www.scdhhs.gov

DHHS Program AreaPhone
Ambulance Services898-2655
Ambulatory Surgical Centers898-2665
Behavioral Health Services898-2565
CRNA Services898-2660
Dental Services898-2568
Durable Medical Equipment Services898-2882
School-Based Services898-2655
Early Intervention898-2565
Enhanced Care Services 898-2655
ESRD Services898-2665
FQHC/RHC Services898-2660
Home Health Services898-2590
Hospice898-2590
Hospital Services898-2665
Laboratory (Independent and X-ray)898-2660
Long-Term Care Services898-2590
Managed Care Services898-4614
Nurse Midwife Services898-2660
Nursing Home Services898-2590
Optician/Optometrist Services898-2660
Optional State Supplementation Program898-2590
Pharmacy Services898-2876
Physician Services898-2660
Psychiatric Hospital Services898-2565
Psychologists (Ph.D., MR/RD Waiver only)898-2590
Qualified Medicaid Beneficiary Program898-2565
Speech and Hearing Services898-2655
Therapies (Physical and Occupational)898-2655
Third-Party Liability898-2630
Transportation Services898-2655
Changes of address and other updates
Medicaid Provider Enrollment
PO Box 8809
Columbia, SC 29202-8809
(803) 264-1650
Fax: (803) 699-8637


Ordering provider manuals
South Carolina Medicaid Provider Outreach
(803) 264-9609
Email: manuals@scdhhs.gov


Downloading provider manuals
www.scdhhs.gov


Provider workshop schedules and registration; training materials
www.scmedicaidprovider.org
1-888-289-0709


Applying for a National Provider Identifier (NPI)
https://nppes.cms.hhs.gov
1-800-465-3203


Quality Improvement Organization (QIO) Medical Review Prior Authorization (hospital and physician)
Qualis Health
440 Know Abbott Drive, Suite 220
Cayce, South Carolina 29033
(803) 739-2755
Toll Free: 1-877-717-8592
Fax: (803) 739-2766


Recovery and third-party liability-related adjustments Medicaid Insurance Verification Services
PO Box 101110
Columbia, SC 29211-9804
(803) 252-7070
(803) 252-0870 fax


Medicaid information for beneficiaries
(888) 549-0820


Reporting fraud Medicaid Fraud & Abuse
(888) 364-3224


Verifying eligibility Medicaid Interactive Voice Response System
(888) 809-3040
or sign up for the Web Tool


Web Tool signup and support; Trading Partner Agreements
South Carolina Medicaid EDI Support Center
PO Box 17
Columbia, SC 29202
1-888-289-0709


Managed Care Organizations (MCOs) - Provider Prior Authorization Requests
Absolute Total Care
(866)433-6041


BlueChoice Health Plan of SC
(866)902-1689


Carolina Crescent Health Plan
(866)748-8661


First Choice by Select Health
(888)559-1010


Unison Health Plan of SC
(800) 414-9025


Managed Care Organizations (MCOs) - Member Services
Absolute Total Care
(866)433-6041


BlueChoice Health Plan of SC
(866)781-5094


Carolina Crescent Health Plan
(866)748-8661


CHCcares of South Carolina
(866)802-2474


First Choice by Select Health
(888)276-2020


Unison Health Plan of SC
(800) 414-9025


Medical Homes Networks (MHN) - Provider Prior Authorization Requests
South Carolina Solutions
(866)793-0006


Medical Homes Networks (MHN) - Member Services
South Carolina Solutions
(888)366-6243


Appeals (accompanied by required documentation)
Division of Appeals and Hearings
Department of Health and Human Services
PO Box 8206
Columbia, SC 29202-8206


12/10/09