2016 Provider Revalidation: Group 1


The South Carolina Department of Health and Human Services (SCDHHS) is beginning 2016 Provider Revalidation. Durable Medical Equipment and Rehabilitative Behavioral Health Services providers who enrolled as a Healthy Connections Medicaid provider between Dec. 1, 2012-Dec. 31, 2013, are scheduled for revalidation in 2016.

In the bulletin dated April 20, 2015, providers were informed their enrollment information must be revalidated, per the Centers for Medicare and Medicaid Service (CMS). To avoid risk of termination in the SCDHHS Healthy Connections Medicaid program, you must complete and submit an enrollment application 30 days from the date of your official revalidation notification letter. DO NOT begin the revalidation process until you receive notification. The notification contains pertinent information needed to start and complete the revalidation process.

In addition, the enrollment application fee is ONLY applicable to providers that CMS has identified as institutional providers. The application fee must be collected before a revalidation provider enrollment agreement is received, unless the provider is already enrolled in Medicare, enrolled in another state’s Medicaid or CHIP program or submitted and received approval for a Hardship Waiver request. South Carolina Healthy Connections Medicaid recognizes and enrolls the following institutional providers:

Ambulatory Surgery Centers, Community Mental Health Centers; Comprehensive Outpatient Rehabilitation Facilities; Durable Medical Equipment, End State Renal Disease Facilities; Federally Qualified Health Centers; Home Health Agencies; Hospices; Hospitals, Acute Inpatient Facilities, Inpatient Psychiatric Facilities, Inpatient Rehabilitation Facilities, Independent Clinical Laboratories; Skilled Nursing Facilities and Rural Health Clinics.

The 2016 revalidation process for Group 1 begins March 7, 2016, and ends April 6, 2016. This group consists of providers who enrolled between Dec. 1, 2012-Dec. 31, 2013.

Provider Revalidation 2016: Group 1

The following provider types located within Aiken, Anderson, Barnwell, Beaufort, Charleston, Chesterfield, Georgia within Medicaid Service Area, Georgia outside Medicaid Service Area, Georgetown, Greenville, Greenwood, Horry, Lexington, Marlboro, NC within Medicaid Service Area,NCoutside Medicaid Service Area, Out of State, Pickens, Richland, Spartanburg, Sumter and York counties are also in Group 1 and require a site visit.

Durable Medical Equipment

Rehabilitative Behavioral Health Services

For more information on the revalidation process, please visit https://www.scdhhs.gov/revalidation . Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.

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