Learning Resources
Frequently Asked Questions
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How will I know that my provider revalidation has been approved?Once the provider revalidation application is approved, provider revalidation approval notification will be emailed to the email address entered on the provider revalidation application. Revalidation FAQs PDF | |
When should I expect to receive my provider revalidation approval?Once the provider revalidation process is complete and error free, provider revalidation approval will be emailed to the email address entered during the provider revalidation process within 30 days. Revalidation FAQs PDF | |
What if I do not complete my provider revalidation within 30 days?If you do not fully complete the provider revalidation process within 30 days from the date on the notification letter, it is considered voluntary termination from South Carolina Healthy Connections Medicaid. You will need to enroll as a new provider. Revalidation FAQs PDF | |
Can I request an extension?Extensions will not be granted due to the stringent timelines mandated by Federal Regulation 455.104 (b), (c), and 455450 (e). Revalidation FAQs PDF | |
I am under review by Program Integrity and I am required to have a site visit for the Program Integrity Process. Am I required to have a separate site visit for provider revalidation? | |
Do I need to contact South Carolina Healthy Connections Medicaid to schedule a site visit?No. If a site visit is needed, a Provider Relations Representative will contact you. Revalidation FAQs PDF | |
What do I need to do to prepare for a site visit?You will receive a site visit form with this information after your site visit has been scheduled. Revalidation FAQs PDF | |
Will I need a site visit?All moderate and high risk providers will need a site visit. The site visit must occur within 30 days from the date on the revalidation notification letter. Revalidation FAQs PDF | |
How long do I have to complete the provider revalidation process?You have 30 days from the date on the revalidation notification letter to complete and submit your provider revalidation application in its entirety with all current information. Revalidation FAQs PDF | |
I am a medical clinic and I see that other medical clinics are revalidating in June and July 2015. I haven’t received my revalidation notification letter yet. What should I do?All medical clinics will revalidate within June, July or August 2015. If your clinic’s address information has changed recently and needs to be updated, please fax or mail a letter requesting an address change to MCCS Provider Enrollment on company letterhead. The Provider Enrollment fax number is (803) 870-9022. The address is Medicaid Provider Enrollment, P.O. Box 8809, Columbia, SC 29202-8809. The letter should include the provider’s legacy and NPI numbers, as well as the new address, along with the provider’s or an authorized person’s signature and a contact person’s name and telephone number in case there are any questions. Once the address information is updated and the revalidation notification letter is re-sent, the provider will still have 30 days from the date on the original revalidation notification letter to fully complete the provider revalidation process. If your clinic’s address information has not changed recently or has changed recently but the address change procedure was followed correctly, your revalidation notification letter will be mailed later in summer 2015. Revalidation FAQs PDF | |