Learning Resources
Frequently Asked Questions
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What is a Temporary Moratorium?A temporary moratorium is the imposition of a hold or freeze on the enrollment of new or initial Medicaid providers and suppliers of a particular provider type or the establishment of new practice locations of a particular provider type in a specific geographic area for a period of six months. CMS may extend a temporary moratorium in six month increments. The announcement of a moratorium will be reported in the Federal Register. | |
What is an MHN referral number?If your service requires a referral, the MHN gives you an authorization number. | |
What is provider revalidation?All enrolled South Carolina Healthy Connections Medicaid providers who are not Durable Medical Equipment (DME) suppliers must revalidate their enrollment criteria every five years in accordance with the Affordable Care Act. DME suppliers must revalidate every three years. Revalidation FAQs PDF | |
What is the payment cycle?The payment cycle is: Wed-Mon, payments are processed on Tuesday, and payment is received as early as Friday. | |
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. | |
What is the Web Tool’s Non-Contractual box?The Non-Contractual box is to be selected/entered when the provider is not contracted with the member’s third party payer. | |
What should I do if one line does not pay on your claim?Correct and refile that one line. | |
When a claim is in a denied status, can you do an adjustment?You must wait for the rejection, and then do a correction. An adjustment can only be made to a paid claim. | |
When are TADs available for providers to view on the Web Tool? | |
When are the DHHS Form 181, CRCF 01 and IPC forms due back to MCCS? | |