Provider Information

Provider Manuals

Most Recently Updated Manuals.
Go to Provider Manuals List for the full list of all provider manuals.

Fee Schedules

Fee Schedule for COVID-19 related codes

SCDHHS has published fee schedules for codes that have been created during the COVID-19 public health emergency on the agency’s COVID-19 website.

CLTC Fee Schedule

CLTC Fee Schedule.xls

Excluded Providers List


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)

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...



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...


Report Fraud