Learning Resources
Frequently Asked Questions
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Where can I find the Medicaid Credit Balance Report forms?The Medicaid Credit Balance Report Certification Page and Claim Detail forms can be found under the For Providers menu option at SCDHHS.gov – see Credit Balance Forms. | |
Where can you find an out of state referral form?That form can be found on SCDHHS.gov. | |
Where do I list the individuals affiliated with our group on the enrollment application?During the online enrollment process, organizations cannot affiliate individuals to their group. It is the responsibility of the individual provider to affiliate with a group. The request must be on the business letterhead to include the Group’s Medicaid Legacy ID number and the provider’s NPI number with the provider’s or an authorized signature via Fax: (803) 870-9022 or Mail: Medicaid Provider Enrollment, PO Box 8809 Columbia, SC 29202-8809. Updates will be processed within ten (10) days of receipt. | |
Where do I send in my credit balance report? | |
Where do you get the bulletins?You can sign up for e-bulletin on the SCDHHS.gov page. | |
Where is the Provider Service Center located?It is housed at MCCS. | |
Who initiated these new screening and enrollment guidelines?The Centers for Medicare and Medicaid Services (CMS), under standards established by the Affordable Care Act (ACA), with a focus on strengthening requirements for Medicaid provider screening and other enrollment requirements. | |
Who is mandating the provider revalidation process?This implementation is in response to directives in the standards established by Section 6401(a) of the Affordable Care Act (ACA) in which CMS requires all state Medicaid agencies to implement the provider enrollment, screening, and revalidation provisions of the Affordable Care Act. These regulations were published in the Federal Register, Vol. 76, February 2, 2011, and were effective March 25, 2011. Revalidation FAQs PDF | |
Who updates the website for manuals? | |