Frequently Asked Questions

Browse the glossary using this index

Special | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | ALL

I

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?

Yes. Revalidation FAQs PDF

I cannot enter all of the characters in a procedure code or a diagnosis code. Can you help me?

Remove decimal points from the code. To start afresh, backspace to the beginning of the field or highlight the characters in the code and press delete.

I did not receive my TAD. Can you fax/mail a copy?

MCCS can send a copy of the TAD when requested.

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?

If a beneficiary doesn’t have their copay, can you refuse them?

No, as a Medicaid provider you cannot refuse a beneficiary if they do not have their copay.

If a beneficiary isn’t eligible, will the Web Tool show ineligible?

Yes, information is listed in red.

If a Health Insurance Information Referral Form (HIIRF) is completed with no documentation, will the beneficiary's TPL record be updated?

No, MIVS will further investigate and draft a letterhead showing steps taken.

If a plan doesn’t cover family planning, do we bill to Medicaid and send the EOB?

Certain services are “carved out”, not covered, by the MCOs and MHNs. Those services can be billed directly to SC Medicaid. You do not need to bill to the managed care plan for a denial.

Page: (Previous) 1 2 3 4 5 6 (Next)
ALL

Learning Resources