Agreements & Forms
- Electronic Funds Transfer (EFT) Agreement 08/1/19
- Trading Partner Agreement 07/19/13
- Trading Partner Agreement Enrollment Form01/1/14
- Instructions for Providers 01/1/14
- Trading Partner Agreement Enrollment Form for Vendors and Clearinghouses
- Instructions for Vendors and Clearinghouses 01/1/14
- Trading Partner Agreement Enrollment Instructions for Vendors and Clearinghouses 01/01/14
- Disclosure of Ownership and Control Interest Statement SCDHHS Form 1514
- Hardship Waiver Exception Request
- Participation and Payment Agreement July 2017
- Preceptor/Protocol Agreement Form January 2017