Frequently Asked Questions


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Frequently Asked Questions

 

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Can I save my provider revalidation application and return to it later?

Yes. There are certain points that are clearly defined in the provider revalidation application process where you can save your work and exit the application. An incomplete application will be deleted and unable to be recovered 30 days from the day the application was created. Revalidation FAQs PDF


Can a customer service advocate tell me if another provider has started and saved a provider revalidation application?

No. The only information that the provider service center has is if a provider revalidation application has been completed and submitted. The provider service center cannot see if a provider has started the application process but not completed it. If you have the revalidation reference number, NPI and Medicaid ID of the provider in question, you can access the application to see if there is any work in progress. Revalidation FAQs PDF


How can I pay my fee?

The fee can only be paid at https://ssl.sc.gov/Checkout/DHHS. The fee will be collected prior to the provider revalidation process. Revalidation FAQs PDF


I’m concerned about entering my payment information on the website. Is the website secure?

Yes, the website is secure. South Carolina Healthy Connections Medicaid uses the national standard in website security software to ensure that the information entered onto the site is secure. Revalidation FAQs PDF


I am also a Medicare provider and I have paid the provider revalidation fee to Medicare. Do I need to pay the South Carolina Healthy Connections Medicaid provider revalidation fee?

No, not if you have paid your Medicare fee in the last 12 months. Revalidation FAQs PDF


I am an out of state South Carolina Healthy Connections Medicaid provider who has paid the provider revalidation fee for the state where I practice. Do I need to pay the South Carolina Healthy Connections Medicaid provider revalidation fee?

No, not if you have paid your Medicare fee in the last 12 months. Revalidation FAQs PDF


Where can I find additional information about the South Carolina Healthy Connections Medicaid provider revalidation process?

For additional information about the South Carolina Healthy Connections Medicaid provider revalidation process, please visit www.scdhhs.gov/revalidation or medicaidelearning.remote-learner.net. Revalidation FAQs PDF


Will there be training available for the South Carolina Healthy Connections Medicaid provider revalidation process?

There will be webinars, e-learning opportunities, and classroom training sessions available. For information about dates, times and registration, please visit medicaidelearning.remote-learner.net. Revalidation FAQs PDF


On a hospital claim, if the pay-to provider has revalidated, but the line provider fails to revalidate, will the claim deny?

If MMIS validates the NPI of the rendering physician, then the claim will deny if the individual has not revalidated. Revalidation FAQs PDF


I am a provider with multiple NPIs attached to my Medicaid ID. I completed the provider revalidation application for my primary NPI. Why are my claims being rejected?

Within 30 days from the date on the revalidation notification letter, all other NPIs attached to your Medicaid ID will need to complete an electronic provider enrollment application. To access the online provider enrollment application, copy and paste https://providerservices.scdhhs.gov/ProviderEnrollmentWeb/ into your browser. If you did not complete an electronic provider enrollment application for all non-primary NPIs associated with your Medicaid ID and you wish to continue billing with those NPIs, claims for those NPIs will be rejected. You may resubmit claims once you have received confirmation that the electronic provider enrollment application is complete. Revalidation FAQs PDF



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