Provider Information
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Excluded Providers List
Provider Quick Links
- Production Calendar
- Online Enrollment Application
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- Provider Type and Specialty Listing 02-24-14
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Credit Balance Forms
SC Medicaid eLearning
Resources
New Tool! SC HealthViz
Access maps, reports and data on Medicaid health services in South Carolina SC HealthViz is designed to provide greater transparency of the data that...
Provider Enrollment and Screening Requirements
Be licensed by the appropriate licensing body, certified by the standard-setting agency, and/or other pre-contractual approval processes...
SC Medicaid Companion Guides
South Carolina Medicaid Companion Guides supplement the HIPAA-required ANSI X-12 Implementation Guide to explain billing instructions specific to...
Fee Schedules
Physicians Family Practice, General Practice, Osteopath, Internal Medicine, Pediatrics, Geriatrics Effective For Dates Of Service 01/01/14...
Electronic Data Interchange (EDI)
Electronic claims are processed faster and more accurately than those received by mail. SCDHHS will provide an electronic response indicating that...
Carrier Codes
Megallan Carrier Code List Alpha12/13/2013 (MS Excel Spread sheet) Megallan Carrier Code List Numeric12/13/2013 (MS Excel Spread sheet) Carrier...
Proviso 33.34
The 2014 budget currently includes Proviso 33.34 which-for the first time-provides funds that may only be accessed if hospitals and clinics serving...
Affordable Care Act Initiatives
South Carolina Department of Health and Human Services (SCDHHS) received final State Plan Amendment approval for the payment methodology for enhanced...
ICD-10
Read More about the ICD-10 Implementation On January 16, 2009, the Department of Health and Human Services released the HIPAA Administrative...
OSS Advisories
OSCAP advisory August 2013 July 1, 2013 OSCAP Advisory07/09/2013 February 2013 OSS AdvisoryDescription: OSS Advisory NewsletterPosted:01/29/2012...
Claim Submission Tool (Web Tool)
Medicaid Web-based Claims Submission Tool Send CMS-1500 and UB-04 claims and their associated adjustments to SC Medicaid via the Internet. Support...
APR-DRG
The South Carolina Department of Health and Human Services (SCDHHS) intends to move to a new method of paying for hospital inpatient services. The...
MHN/MCO Eligibility Verification Feature Now Available
Effective Tuesday, June 12, 2012, the South Carolina Department of Health and Human Services (SCDHHS) will add a new feature to the SC Web-based...
Organizations
Screening, Brief Intervention and Referral to Treatment (SBIRT)
What is SBIRT? SBIRT is evidence based, integrated and comprehensive approach to the identification, intervention treatment/referral of substance (...
Adult Protection Coordinating Council
The Adult Protection Coordinating Council was created by the South Carolina General Assembly to foster coordination and cooperation among multiple...
South Carolina Birth Outcomes Initiative
SCBOI Core Objectives South Carolina Birth Outcomes Initiative (BOI) is an effort by the South Carolina Department of Health and Human Services (...
Division of Community and Facility Services
The Division of Community and Facility Services is responsible for oversight for the following Medicaid programs: home health, hospice,nurse aide...
Nurse Aide Registry, Testing and Training
The South Carolina Healthy Connections Medicaid is committed to ensuring that anyone who is interested in becoming a Certified Nursing Assistant (CNA...
Home Health
Conditions and Criteria for Home Health Services: Home Health Services are intermittent skilled nursing services, physical therapy, speech therapy,...
Nursing Facility Services (Nursing Homes)
Nursing Facility Services Links Nurse Aides (CNA) Residents Family Members Nursing Facility Providers Reference Nursing Home Level of Care...
Healthy Connections Prime
As part of the State Demonstrations to Integrate Care for Dual Eligible Individuals, South Carolina is one of fifteen states selected to design new...
Long Term Care & Behavioral Health Service
The bureau consists of three divisions: Division of Community Long Term Care Division of Community and Facility Services (Nursing Home, Home Health...
Medicaid Coordinated Care Improvement Group
The purpose of this Group is to examine the current Medicaid coordinated care system to determine what is working and not working and develop...
Payment Error Rate Measurement (PERM)
PERM 2013 Provider Education Webinar/Conference Calls The Centers for Medicare & Medicaid Services (CMS) is hosting four Payment Error Rate...
Pages
Latest Provider Bulletins 
Apr 11, 2014
Apr 11, 2014
Mar 28, 2014