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For Providers

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)

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...