Provider Information
Medicaid Web Portal Login
Provider Enrollment Information
Provider Manuals
Most Recently Updated Manuals.
Go to Provider Manuals List for the full list of all provider manuals.
Wednesday, September 1, 2021
Monday, August 2, 2021
Monday, August 2, 2021
Excluded Providers List
Provider Quick Links
- FAQs for Secure Email Users
- Production Calendar
- Online Enrollment Application
- Online Application Fee Payment
- Provider Outreach Calendar
Provider Lists
- Provider Type and Specialty Listing 04/01/20
- Ordering/Referring Eligible Provider Listing
- South Carolina Excluded Providers
For Questions
Manual Resources
Federal Resources
- Centers for Medicaid and Medicare Services
- National Plan and Provider Enumeration System (NPPES) for NPI
- P rovider Taxonomy Code Set
- Office of Inspector General (OIG)
- System for Award Management (SAM)
Training and FAQs
- KePRO’s Training Schedule
- KePRO FAQ’s
- 254/257 Elimination FAQs
- Medicaid Recovery Audit Contractor
- Institutions for Mental Diseases FAQ
MTCM Trainings
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...
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...
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...
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...
Pages
Organizations
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...
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...
South Carolina Long term Care Partnership Agent Training Guidelines
To sell Long Term Care Partnership policies in South Carolina, insurance producers must successfully complete training that had been approved by the...
KePRO Quality Improvement Organization (QIO)
Attention Providers: KePRO authorizations in effect August 1. Contact the Provider Service Center: (888) 289-0709 Q. Who is the new Quality...
