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https://www.scdhhs.gov/providers/manuals/rehabilitative-behavioral-health-services-rbhs-manual Rehabilitative Behavioral Health Services (RBHS) Manual | SCDHHS behavioral health services rehabilitative manual scdhhs https://www.scdhhs.gov/providers/managed-care/managed-care-organizations-mco/mco-providers MCO Providers | SCDHHS The South Carolina Department of Health and Human Services (SCDHHS) partners with five MCOs. Each MCO manages its own provider enrollment, reimbursement and... mco providers scdhhs https://www.scdhhs.gov/providers/trainings Trainings | SCDHHS Find provider and broker trainings for SC Healthy Connections Medicaid. trainings scdhhs https://www.scdhhs.gov/providers/managed-care/healthy-connections-prime-mmp/provider-information/provider-toolkit Provider Toolkit | SCDHHS provider toolkit scdhhs https://www.scdhhs.gov/partners/managed-care/managed-care-organizations-mco/mco-reference-materials MCO Reference Materials | SCDHHS reference materials mco scdhhs https://www.scdhhs.gov/communications Communications | SCDHHS Bulletins, Press Releases, Public Notices, State Plan Notices, Member Newsletters, and Meetings communications scdhhs https://www.scdhhs.gov/resources/notification-forms Notification Forms | SCDHHS Please complete the following form to notify the Division of Care Management of a Managed Care Organization enrolled beneficiary's admission to a waiver... notification forms scdhhs https://www.scdhhs.gov/partners/vendor-information Vendor Information | SCDHHS vendor information scdhhs https://www.scdhhs.gov/communications/healthy-connections-medicaid-provider-training-opportunities-may-july-2026-0 Healthy Connections Medicaid Provider Training Opportunities May-July 2026 | SCDHHS The South Carolina Department of Health and Human Services (SCDHHS) regularly offers free Healthy Connections Medicaid training to enrolled Healthy Connections... healthy connections provider training may july medicaid opportunities https://www.scdhhs.gov/members Members | SCDHHS members scdhhs https://www.scdhhs.gov/providers/ordering-referring-and-prescribing-orp-providers Ordering, Referring and Prescribing (ORP) Providers | SCDHHS ordering referring prescribing orp providers https://www.scdhhs.gov/members/forms Forms | SCDHHS Are you a Healthy Connections Medicaid member who has recently moved? We have an easy way for you to update your address! Visit apply.scdhhs.gov to find our... forms scdhhs https://www.scdhhs.gov/partners/managed-care/program-all-inclusive-care-elderly-pace/regulatory PACE Regulatory | SCDHHS PACE Regulation and GuidanceThe State Medicaid plan is the contract between the States and the Federal government under which States agree to administer the... pace regulatory scdhhs https://www.scdhhs.gov/providers/manuals/provider-administrative-and-billing-manual Provider Administrative and Billing Manual | SCDHHS Beginning July 1, 2019, general administrative and billing information was consolidated into the Provider Administrative and Billing Manual while provider... provider administrative billing manual scdhhs https://www.scdhhs.gov/data-and-research/transparency Transparency | SCDHHS This information is designed to give the public an overview of how tax dollars are spent in support of the Medicaid program. It is not intended to detail each... transparency scdhhs https://www.scdhhs.gov/providers/manuals/nursing-facility-services-manual Nursing Facility Services Manual | SCDHHS nursing facility services manual scdhhs https://www.scdhhs.gov/providers/revalidation Revalidation | SCDHHS This page information and details on the South Carolina Department of Health and Human Services (SCDHHS) provider enrollment revalidation process. Revalidation... revalidation scdhhs https://www.scdhhs.gov/providers/fee-schedules Fee Schedules | SCDHHS fee schedules scdhhs https://www.scdhhs.gov/providers/trainings/provider-training-resources Provider Training Resources | SCDHHS provider training resources scdhhs https://www.scdhhs.gov/providers/manuals/autism-spectrum-disorder-asd-services-manual Autism Spectrum Disorder (ASD) Services Manual | SCDHHS autism spectrum disorder asd services manual scdhhs https://www.scdhhs.gov/providers/apr-drg APR DRG | SCDHHS The South Carolina Department of Health and Human Services (SCDHHS) uses the SolventumTM (formerly 3MTM) All Patient Refined Diagnosis Related Groups... apr drg scdhhs https://www.scdhhs.gov/ Homepage (New) | SCDHHS homepage new scdhhs https://www.scdhhs.gov/members/where-go-help Where to Go For Help | SCDHHS go help scdhhs https://www.scdhhs.gov/resources/appendix-k-amendment Appendix K Amendment | SCDHHS On April 21, 2020, the Centers for Medicare and Medicaid Services approved SCDHHS’ Appendix K Amendment request. Providers who have questions about Appendix K... appendix amendment scdhhs https://www.scdhhs.gov/legal/foia-requests FOIA Requests | SCDHHS The business of the South Carolina Department of Health and Human Services (SCDHHS) is open to public review, as is required by the state's Freedom of... foia requests scdhhs https://www.scdhhs.gov/providers/manuals/rural-health-clinic-rhc-services-provider-manual Rural Health Clinic (RHC) Services Provider Manual | SCDHHS rural health clinic services provider rhc manual scdhhs https://www.scdhhs.gov/members/getting-started Getting Started | SCDHHS Find out how to apply for South Carolina Healthy Connections Medicaid. getting started scdhhs https://www.scdhhs.gov/members/managed-care-plan-information/healthy-connections-prime-mmp/member-information/member-and Member and Advocate Toolkit | SCDHHS member advocate toolkit scdhhs https://www.scdhhs.gov/providers/managed-care/program-all-inclusive-care-elderly-pace Program For All-Inclusive Care Of The Elderly (PACE) | SCDHHS What is PACE?Program for All-inclusive Care of the Elderly (PACE) is a State Plan program that provides comprehensive care that allows frail elderly... inclusive care program elderly pace scdhhs https://www.scdhhs.gov/providers/manuals/optional-state-supplementation-services-manual Optional State Supplementation Services Manual | SCDHHS optional state supplementation services manual https://www.scdhhs.gov/providers/managed-care/healthy-connections-prime Healthy Connections Prime | SCDHHS Healthy Connections Prime is an enhanced program that combines all of the benefits of Medicare and Healthy Connections Medicaid under a single... healthy connections prime scdhhs https://www.scdhhs.gov/partners/reports-and-statistics/medicaid-annual-eligibility-review-dashboard Medicaid Annual Eligibility Review Dashboard | SCDHHS medicaid annual eligibility review dashboard https://www.scdhhs.gov/nonrecurring-legislative-contracts Nonrecurring Legislative Contracts | SCDHHS On July 1, 2022, Governor Henry McMaster issued Executive Order 2022-19, which directs state agencies to disclose online detailed information about the... legislative contracts scdhhs https://www.scdhhs.gov/providers/manuals/medicaid-targeted-case-management-mtcm-services-manual Medicaid Targeted Case Management (MTCM) Services Manual | SCDHHS case management medicaid targeted services manual https://www.scdhhs.gov/fraud-waste-and-abuse Fraud, Waste and Abuse | SCDHHS fraud waste abuse scdhhs https://www.scdhhs.gov/resources/waivers Waiver Management/Field Management | SCDHHS waiver management field scdhhs https://www.scdhhs.gov/members/managed-care-plan-information/managed-care-organizations-mco/mco-members MCO Members | SCDHHS MembersQuestions about Managed Care enrollment?Contact the South Carolina Healthy Connections Choices customer service center:Phone: 1-877-552-4642TTY (for... mco members scdhhs https://www.scdhhs.gov/about/mission-and-history Mission and History | SCDHHS South Carolina Department of Health and Human ServicesOur MissionTo be boldly innovative in improving the health and quality of life for South... mission history scdhhs https://www.scdhhs.gov/legal/supported-browsers Supported Browsers | SCDHHS Below is a list of freely available internet browsers known to work with our online applications. Use of a browser, or version of a browser, not on this list... supported browsers scdhhs https://www.scdhhs.gov/providers/pharmacy Pharmacy | SCDHHS pharmacy scdhhs https://www.scdhhs.gov/providers/manuals/federally-qualified-health-center-fqhc-services-provider-manual Federally Qualified Health Center (FQHC) Services Provider Manual | SCDHHS federally qualified health center services provider fqhc manual https://www.scdhhs.gov/partners/managed-care/program-all-inclusive-care-elderly-pace Program For All-Inclusive Care Of The Elderly (PACE) | SCDHHS What is PACE?Program for All-inclusive Care of the Elderly (PACE) is a State Plan program that provides comprehensive care that allows frail elderly... inclusive care program elderly pace scdhhs https://www.scdhhs.gov/providers/manuals/dental-services-manual Dental Services Manual | SCDHHS dental services manual scdhhs https://www.scdhhs.gov/partners/reports-and-statistics/medicaid-enrollment-dashboard/medicaid-enrollment-limited-benefits Medicaid Enrollment - Limited Benefits | SCDHHS medicaid enrollment limited benefits scdhhs https://www.scdhhs.gov/partners/committees-and-groups Committees and Groups | SCDHHS Adult Protection Coordinating CouncilThe Adult Protection Coordinating Council was created by the South Carolina General Assembly to foster coordination and... committees groups scdhhs https://www.scdhhs.gov/providers/managed-care/healthy-connections-prime-mmp/providers-what-prime Providers: What is Prime? | SCDHHS UPDATE:NOTICE: As of Jan. 1, 2026 , Healthy Connections Prime (Prime), South Carolina's Medicare-Medicaid plan, has ended. Members who were enrolled in Prime... providers prime scdhhs https://www.scdhhs.gov/members/managed-care-plan-information/healthy-connections-prime-mmp/health-plans Health Plans | SCDHHS To Contact Your Plan's Member Services TeamIf you need to contact your plan, please use the contact information on the back of your Member ID card. If you have... health plans scdhhs https://www.scdhhs.gov/members/annual-reviews/resources Resources | SCDHHS resources scdhhs https://www.scdhhs.gov/members/managed-care-plan-information/dual-special-needs-plans Dual Special Needs Plans | SCDHHS What is a Special Needs Plan?A Special Needs Plan (SNP) is type of Medicare Advantage Plan (MA) that provides benefits to members who have Medicare and... special needs dual plans scdhhs https://www.scdhhs.gov/partners/managed-care/managed-care-carve Managed Care Carve-in | SCDHHS managed care carve scdhhs https://www.scdhhs.gov/legal/text-messaging Text Messaging Terms of Service | SCDHHS SMS/MMS Text Messaging Terms of Service En EspañolBy providing your cell number as part of your enrollment, you are agreeing to receive text messages from... text messaging terms service scdhhs https://www.scdhhs.gov/about/strategic-plan Strategic Plan | SCDHHS SCDHHS' strategic plan includes three straightforward goals that the agency will strive to accomplish as a team. Each of the goals are briefly described... strategic plan scdhhs https://www.scdhhs.gov/providers/managed-care/managed-care Managed Care | SCDHHS What is a Managed Care Organization?A Managed Care Organization (MCO) is a health care company, often called a managed care scdhhs https://www.scdhhs.gov/providers/manuals/hospice-services-manual Hospice Services Manual | SCDHHS hospice services manual scdhhs https://www.scdhhs.gov/providers/manuals/home-health-services-manual Home Health Services Manual | SCDHHS health services manual scdhhs https://www.scdhhs.gov/providers/manuals/hospital-services-manual Hospital Services Manual | SCDHHS hospital services manual scdhhs https://www.scdhhs.gov/members/managed-care-plan-information/healthy-connections-prime-mmp Healthy Connections Prime (MMP) | SCDHHS healthy connections prime mmp scdhhs https://www.scdhhs.gov/members/tax-information Tax Information | SCDHHS Find FAQs about tax information and IRS Form 1095-B here. tax information scdhhs https://www.scdhhs.gov/providers/manuals/provider-manual-archive Provider Manual Archive | SCDHHS provider manual archive scdhhs https://www.scdhhs.gov/providers/health-managed-care-plans Health & Managed Care Plans | SCDHHS managed care health plans scdhhs https://www.scdhhs.gov/members/managed-care-plan-information/managed-care-organizations-mco Managed Care Organizations (MCO) | SCDHHS managed care organizations mco scdhhs https://www.scdhhs.gov/members/program-eligibility-and-income-limits Program Eligibility and Income Limits | SCDHHS program eligibility income limits scdhhs https://www.scdhhs.gov/legal/notice-non-discrimination Notice of Non-Discrimination | SCDHHS The South Carolina Department of Health and Human Services (SCDHHS) complies with applicable federal civil rights laws and does not discriminate on the basis... non discrimination notice scdhhs https://www.scdhhs.gov/providers/manuals/enhanced-services-manual Enhanced Services Manual | SCDHHS enhanced services manual scdhhs https://www.scdhhs.gov/data-and-research/reports-and-statistics Reports and Statistics | SCDHHS reports statistics scdhhs https://www.scdhhs.gov/providers/manuals/clinic-services-manual Clinic Services Manual | SCDHHS clinic services manual scdhhs https://www.scdhhs.gov/providers Providers | SCDHHS providers scdhhs https://www.scdhhs.gov/legal/it-privacy-policy IT Privacy Policy | SCDHHS IT Privacy PolicyInformationThe South Carolina Department of Health and Human Services (SCDHHS) maintains this site as a service to the public. The Department... privacy policy scdhhs https://www.scdhhs.gov/providers/provider-enrollment/provider-enrollment-and-screening-requirements-faqs Provider Enrollment and Screening Requirements FAQs | SCDHHS Enrollment and ScreeningWho initiated the new screening and enrollment guidelines?The Centers for Medicare and Medicaid Services (CMS), under standards... provider enrollment screening requirements faqs https://www.scdhhs.gov/partners/reports-and-statistics/medicaid-enrollment-dashboard/medicaid-enrollment-new-applications Medicaid Enrollment - New Applications | SCDHHS medicaid enrollment new applications scdhhs https://www.scdhhs.gov/providers/manuals/ambulance-services-provider-manual Ambulance Services Provider Manual | SCDHHS Beginning July 1, 2019, general administrative and billing information was consolidated into the Provider Administrative and Billing Manual while provider... ambulance services provider manual scdhhs https://www.scdhhs.gov/providers/become-provider Become a Provider | SCDHHS Get all the information you need to become a Medicaid provider. become provider scdhhs https://www.scdhhs.gov/providers/manuals/local-education-agencies-lea-services-provider-manual Local Education Agencies (LEA) Services Provider Manual | SCDHHS local education services provider agencies lea manual https://www.scdhhs.gov/partners/managed-care/managed-care-carve/managed-care-carve-training-resources Managed Care Carve-in Training Resources | SCDHHS managed care training resources carve scdhhs https://www.scdhhs.gov/providers/manuals/physicians-services-provider-manual Physicians Services Provider Manual | SCDHHS services provider physicians manual scdhhs https://www.scdhhs.gov/partners/managed-care/dual-special-needs-plans-d-snp/program-data Program Data | SCDHHS program data scdhhs https://www.scdhhs.gov/providers/manuals/licensed-independent-practitioners-lip-rehabilitative-services-manual Licensed Independent Practitioners (LIP) Rehabilitative Services Manual | SCDHHS licensed independent practitioners lip rehabilitative https://www.scdhhs.gov/partners/managed-care/healthy-connections-prime-mmp/resources Resources | SCDHHS To view resources click the links below. resources scdhhs https://www.scdhhs.gov/providers/contact-provider-representative Contact a Provider Representative | SCDHHS Contact the Provider Service Center at (888) 289-0709 or submit this form with your question:Contact a Provider Representative provider representative scdhhs https://www.scdhhs.gov/about About | SCDHHS The Department of Health and Human Services is the administrator of Healthy Connections, South Carolina’s Medicaid Program. Medicaid provides health coverage... scdhhs https://www.scdhhs.gov/partners/managed-care/healthy-connections-prime-mmp/cicos For CICOs | SCDHHS scdhhs https://www.scdhhs.gov/resources/programs-and-initiatives/babynet BabyNet | SCDHHS scdhhs https://www.scdhhs.gov/providers/managed-care/dual-special-needs-plans Dual Special Needs Plans | SCDHHS What is a Special Needs Plan?A Special Needs Plan (SNP) is type of Medicare Advantage Plan (MA) that provides benefits to members who have Medicare and... special needs dual plans scdhhs