Chapter 3 provider services and provider contracting. Alcohol and other drug rehabilitation services provider manual description. Sc medicaid policy and procedures manual providers. Information in this manual includes south carolina medicaid policies for general medical care, such as, office exams. Each historic provider manual is archived on the scdhhs website during a transition period. Health care professional and provider manual select health of. Molina healthcare of south carolina medicaid provider manual.
The new manuals are available on this section of the scdhhs website. Effective july 1, 2014, in accordance with the emerson. Updated provider participation to reflect medicaid. Regulation 61122 standards for licensing inhome care. Community longterm care provider manual manual updated 070118 section 3 billing procedures g eneral information 33 beneficiary copayments received. Effective on and after april 1, 2014, all claims, regardless of the date of. Medicaid provider manual due to the size of this document approximately 16mb, you may experience a delay before it opens. Aarp health insurance plans pdf download medicare replacement pdf.
Select health of south carolina health care professional and provider manual updated march 2020. The state of south carolina south carolina or state medicaid program recognizes professional medical services that are medically necessary, unless limitations are noted within the other service limitations section of this manual. May 15, 2015 page 6 of 118 2015 wellcare south carolina provider manual table of revisions. Please refer to the billing guidance section of this manual for more detailed medicaid billing instructions. And blue shield of south carolina, with the following exceptions. South carolina department of health and human services makes uptodate medicaid provider directory information available to the public in compliance with the code of federal regulations cfr title 42 section 422. Regulation 61122 standards for licensing inhome care providers disclaimer dhec provides this copy of the regulation for the convenience of the public. The south carolina department of health and human services scdhhs is transitioning to a new medicaid management information system mmis. Provider contracting for contract issues and questions, providers may contact their contract manager directly see below for responsibilities or call selectcare at 952992. Nursing facility services sc state library digital collections.
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