Quality Improvement Organization (QIO) Training Session


The South Carolina Department of Health and Human Services (SCDHHS) will co-sponsor provider/facility training with the Medicaid QIO, Keystone Peer Review Organization, Inc., (KePRO).

Training Sessions will Include:

Process for Submitting requests for Inpatient Admissions, Therapy; DME Services; Surgical Procedures; Transplants; Home Heatlh; PRTF; Hospice
Procedures for requesting Reconsiderations vs. Appeals
Procedures for requesting Prior Authorizations when the member receives Medicaid benefits after the service is performed
Timelines for submitting PA requests
Response times for decisions from the QIO
Sessions will be held October 29th, 2013 through November 1st, 2013.  The Charleston session will begin at 10:00 a.m.  All other locations will begin at 9:00 a.m.  Registration is mandatory for all attendees as space is limited. To register for a session, visit the SC Medicaid Provider Education Website at http://medicaidelearning.comor call the SC Medicaid Provider Service Center at 1-888-289-0709. You will receive a confirmation notice with the location address upon completion of your registration. Below are logistics for each session.


Charleston, SC

Florence, SC

Tuesday, October 29, 2013

Wednesday, October 30, 2013

Charleston County Library

Florence/Darlington Technical College

68 Calhoun Street, 29403

2715 West Lucas Street, 29501

Charleston County Library

Fred C. Fore Auditorium

10:00AM - 1:00PM

9:00AM- 1:00PM

Greenville, SC

Columbia SC

Thursday, October 31, 2013

Friday, November 1, 2013

Greenville Technical College

Blue Cross Blue Shield of SC

506 South Pleasantburg Drive, 29607

8901 Farrow Road, 29203

Technical Resource Center Auditorium

Blue Cross Blue Shield (MCCS)

9:00AM- 1:00PM

9:00 AM- 1:00 PM


If you have any questions, comments or concerns regarding this bulletin, we encourage you to submit to comments@scdhhs.gov. Thank you for your continued support of the South Carolina Healthy Connections Medicaid program. 

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