Learning Resources
Frequently Asked Questions
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Is an eligibility signature required for termination? (Nursing Home)No signature is required for terminations. | |
Can I add a beneficiary to the TAD if documentation is not approved?You must have authorized signed documentation in order to add a beneficiary to your TAD. You should not add a beneficiary before the DHHS 181 is forwarded to DHHS Medicaid Eligibility for approval. Contact your Eligibility office if additional information is needed. | |
What is the physical address to over-night a TAD?The PO boxes and physical address are included in the Provider manual as well as on the mailing envelope. For regular mail:Medicaid Claims Receipt – NF Claims SectionNursing HomesP.O. Box 100122Columbia, SC 29202-3122 Medicaid Claims Receipt – NF Claims SectionOSS/IPC/Hospice:P.O. Box 67Columbia, SC 29202 For UPS, FedEx, etc.Medicaid Claims Receipt – NF Claims Section or CRCF Claims Section8901 Farrow RoadColumbia, SC 29203NOTE: Late change forms should be sent overnight or faxed, with all attachments, to (803) 870-9020. Forms should not be faxed unless they are sent past the deadline. Faxed corrections should be received no later than the third working day of each month for Nursing Home providers and the 17th day of the month for OSS providers. | |
Can you correct the 181/CRCF-01 form? | |
I did not receive my TAD. Can you fax/mail a copy? | |
Should claims returned on Form 017 or 017CI without processing be re-filed? | |
Why would a Nursing Facility provider receive a 951 rejection if the beneficiary had always been eligible for NF Medicaid since entering the facility?A 951 Edit Code means the beneficiary was not eligible for Medicaid on the date of service. The beneficiary and/or responsible party for the beneficiary might not have completed the annual Medicaid eligibility review. Inform the nursing facility caller to contact the beneficiary’s eligibility caseworker. | |
What happens if my DHHS Form 181, CRCF 01 or IPC form is not received on time or is not received at all? | |
Will every Nursing Facility or Intermediate Care Facility (ICF) / Mental Retardation (MR) have the same rate?No. | |
Will the hospice agency receive a copy of the DHHS Form 181 when the recurring income changes?Yes, they will receive a copy of the 181 to verify the income change. It is recommended that the NF or ICF/MR attach a copy of the most current 181 when invoicing the hospice. Recurring income is noted in Section III of DHHS Form 181. Medicaid Eligibility is responsible for determining recurring income. | |