Provider Enrollment Application fee



South Carolina Department of Health and Human Services (SCDHHS) will collect the applicable application fee of $542.00 prior to executing a provider agreement.  This includes an initial enrollment, reactivation, revalidation or an enrollment to add a new practice location.  SCDHHS has contracted with SC.Gov Enterprise Payment System to facilitate collection of the application fee.  Payments may be made by debit, credit or e-check.  Paper checks will not be accepted.  For more details regarding online application fee payment, please refer to

The application fee applies to business organizations and entities that enroll in South Carolina Healthy Connections Medicaid with an Employer Identification Number (EIN).  The application fee does not apply to:

  1. Individual physicians (sole proprietors enrolling with an SSN and EIN are considered individuals)
  2. Non-physician practitioners
  3. Providers who are enrolled in Medicare and/or enrolled in another State’s Medicaid Agency or Children’s Health Insurance Program (CHIP)
  4. Providers who have already paid the applicable application fee to Medicare and/or another State’s Medicaid or CHIP

SCDHHS’ goal is to continue to enhance the integrity of the Medicaid program while complying with federal requirements.  If you have any questions regarding provider enrollment and screening, please contact the Provider Service Center at (888) 289-0709, Option 4.  Visit http://provider.scdhhs.govfor additional information. 

Please note that Healthy Connections will soon issue non policy-related notifications such as this via an email alert, rather than a Medicaid Bulletin. You do not need to take any action to subscribe to receive email alerts. If you would like to unsubscribe from the Bulletin and alert list, simply click the link in the footer of the emailed Bulletin message.

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