What is an ORP provider?
An ORP provider orders or refers patients for Medicaid services, prescribes prescription drugs to Medicaid members, and/or serves as the attending practitioner in institutional settings for Medicaid members. ORP providers may be identified as the ordering, referring, prescribing, or attending provider on professional, pharmacy, or institutional claims. Federal law, Title 42, Code of Federal Regulations, Section 455.410(b), requires all ordering or referring physicians or other professionals providing services to Medicaid members to enroll as participating providers with the state Medicaid agency.
Frequently asked questions (FAQs) related to ORP providers and instructions on how to enroll with the South Carolina Department of Health and Human Services (SCDHHS) as an ORP provider can be found below. ORP providers can begin the SCDHHS enrollment process by clicking here .