Learning Resources
Frequently Asked Questions
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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? | |
I did not receive my TAD. Can you fax/mail a copy? | |
I enrolled after 12/03/2012. Am I required to go through the provider revalidation process?You are not required to go through this current provider revalidation process. You will be notified of the next provider revalidation process when it begins. 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’m concerned about entering my social security number or other identifying information on the provider revalidation 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 | |
If a Health Insurance Information Referral Form (HIIRF) is completed with no documentation, will the member's TPL record be updated?No, MIVS will further investigate and draft a letterhead showing steps taken. | |
If a member isn’t eligible, will the Web Tool show ineligible?Yes, information is listed in red. | |
If a plan doesn’t cover family planning, do we bill to Medicaid and send the EOB? | |
If doing a void/replace adjustment, does the Form 130 go along with the CMS-1500 claim form?Yes, the replacement claim will be attached to the Form 130. | |