2018 Provider Revalidation; Group 2

PROVIDER ALERT

The South Carolina Department of Health and Human Services (SCDHHS) continues 2018 provider revalidation. Providers who enrolled as a Healthy Connections Medicaid provider between Dec. 1, 2012-Dec. 31, 2013, are scheduled for revalidation in 2018. 

In the bulletin dated April 20, 2015, providers were informed their enrollment information must be revalidated, per the Centers for Medicare and Medicaid Services (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 Stage Renal Disease Facilities, Federally Qualified Health Centers, Home Health Agencies, Hospices, Hospitals, Independent Clinical Laboratories, Pharmacies, Skilled Nursing Facilities and Rural Health Clinics.

The 2018 revalidation process for Group 2 begins Aug. 6, 2018, and ends Sept. 3, 2018. Group 2 consists of providers who enrolled between Dec. 1, 2012-Dec.31, 2013.

Provider Revalidation 2018: Group 2

Inpatient Hospital

Outpatient Hospital

Other Medical Professionals

Individual Chiropractor

Individual Dentist

Individual Optician

Individual Physician

Individual Podiatrist

 

The following provider types located within Aiken, Barnwell, Beaufort, Berkeley, Charleston, Cherokee, Colleton, Darlington, Dorchester, Florence, Georgetown, Georgia within Medicaid Service Area, Greenville, Greenwood, Horry, Laurens, Lexington, Marion, Newberry, North Carolina within Medicaid Service Area, North Carolina outside Medicaid Service Area, Orangeburg, Out of State, Pickens, Richland, Williamsburg and York counties are also in Group 2 and require a site visit.

Ambulance

Laboratory

Mental Health & Rehabilitation

Other Medical Professionals
(Physical Therapists)

Independent X-Ray

 

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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