2020 Provider Revalidation: Group 2 Temporarily Delayed Due to COVID-19

PROVIDER ALERT

On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19) and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is delaying the provider revalidation process for Group 2, previously scheduled to begin on April 27, 2020, until further notice.

Pursuant to the national and state declarations of emergency, SCDHHS submitted a waiver under Section 1135 of the Social Security Act requesting a variety of administrative and regulatory flexibilities to aid in the state’s preparation and response to COVID-19. SCDHHS submitted this request on March 27, 2020, which, in part, sought permission from the Centers for Medicare and Medicaid Services (CMS) to temporarily cease revalidation of providers who are located in South Carolina or are otherwise directly impacted by the emergency. Under section 1135(b)(1)(B), CMS granted approval to delay provider revalidation in a letter dated March 31, 2020.

This delay affects providers in Group 2, listed below:

Provider Revalidation 2020: Group 2 – Delayed

Inpatient Hospital

Outpatient Hospital

Home Health

Hospice

Managed Care

Medical Clinics

Nursing Home

Pharmacy

Chiropractor Group

Dental Group

Optician Group

Optometrist Group

Physician Group

Podiatrist Group

Other Medical Professionals

Individual Chiropractor

Individual Dentist

Individual Optician

Individual Optometrist

Individual Physician

Individual Podiatrist

Social Worker

 

 

The following provider types located within Aiken, Anderson, Beaufort, Berkeley, Charleston, Cherokee, Dorchester, Florence, Greenville, Horry, Kershaw, Lancaster, Lexington, Oconee, Pickens, Richland, Saluda, Spartanburg and York counties, and providers located outside of the state of South Carolina, including providers in the state North Carolina who are located within the Medicaid Service Area, are also in Group 2 and require a site visit.

Durable Medical Equipment

Independent X-Ray

Laboratory

Other Medical Professionals
(Physical Therapist)

Physician Group

(Physical Therapist)

 

Additional guidance regarding provider revalidation will be communicated in future alerts as needed. A list of all bulletins and alerts issued in response to the COVID-19 emergency can be found at www.scdhhs.gov/covid19.

Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.

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