Provider Enrollment and Screening

PROVIDER ALERT

The Centers for Medicare and Medicaid Services (CMS) has announced the Enrollment Application fee amount for calendar year 2015 will be $553.00. This fee is required with any applicable Healthy Connections Medicaid provider enrollment application submitted on or after January 1, 2015, and on or before December 31, 2015.

South Carolina Department of Health and Human Services (SCDHHS) will collect the applicable application fee of $553.00 prior to executing a provider agreement. This includes an initial enrollment, reactivation, revalidation or addition of 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. Please refer to https://www.scdhhs.gov/provider  for the Online Application Fee Payment.

 

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 already paid the applicable application fee to Medicare and/or another state’s Medicaid or CHIP

SCDHHS’s goal is to continue to enhance the integrity of the Healthy Connections 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 https://www.scdhhs.gov/provider for additional information.

 

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

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