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ATTENTION: SCDHHS recently mailed the 2024 IRS 1099-MISC form to eligible Medicaid-enrolled providers that meet IRS-defined thresholds. Reprint requests will be accepted starting Feb. 24. Providers can request a reprint or submit an inquiry online or by calling the Provider Service Center at (888) 289-0709.

 

 

 

NCQA and Managed Care Organizations 

Interested in finding more detail on how the National Committee for Quality Assurance (NCQA) compares managed care organizations, also known as health plans? Members of the public can search for health plan report cards to find South Carolina Medicaid managed care organizations (MCOs) or health plans on the NCQA website.

For additional detail comparing health plans on various aspects of care and service, you may also search for South Carolina Medicaid health plans on the NCQA website.

Accredited – NCQA Report Cards

Medicaid members may be interested in finding out which Medicaid-participating primary care practices and doctors in South Carolina have been designated as Patient-Centered Medical Homes (PCMH) by a national non-profit, the NCQA. For more information on what a PCMH is and the potential benefits are to patients, visit the NCQA website.

To search for a list of South Carolina practices recognized by NCQA, please access NCQA’s searchable list and select South Carolina under the list of filters by state.  Please note, that not all practices on the list participate in a Medicaid list; to verify which practices are in Medicaid, please access your health plan’s network directory or search the South Carolina Medicaid provider directory.