Provider Manuals

The South Carolina Department of Health and Human Services publishes various provider manuals for access to Medicaid procedures and policies.

Browse

Recent Submissions

Now showing 1 - 5 of 99
  • Item
    Provider administrative and billing manual
    (2024-01-01) South Carolina Department of Health and Human Services
    This manual is to be used for program information and requirements, billing procedures and provider services guidelines. The manual is organized as follows: General information and administration, Policies and procedures, Billing procedures, procedure codes and Administrative services.
  • Item
    Policy and procedure guide for managed care organizations
    (2023-10-01) South Carolina Department of Health and Human Services
    The purpose of this guide is to document the medical and Program Policies and requirements implemented by the South Carolina Department of Health and Human Services (SCDHHS) for Managed Care Organizations (MCO) wishing to conduct business in South Carolina. In the event of any confusion or disagreement as to the meaning or intent of the requirements of the Policies and Procedures contained herein, SCDHHS shall have the ultimate authority to interpret said requirements, of the Policies and Procedures, and the SCDHHS’ interpretation shall control.
  • Item
    Pharmacy services provider manual
    (2023-10-01) South Carolina Department of Health and Human Services
    The State of South Carolina Department of Health and Human Services (SCDHHS) requires that providers of Pharmacy Services to South Carolina Medicaid beneficiaries adhere to all state and federal requirements regarding the practice of pharmacy. Additionally, South Carolina Medicaid-enrolled pharmacies located outside of South Carolina must adhere to all federal and state requirements specific to the state in which the pharmacy is located. This manual lists requirements that must be met in order to qualify for payment from Medicaid.
  • Item
    Durable medical equipment services provider manual
    (2023-10-01) South Carolina Department of Health and Human Services
    The South Carolina Department of Health and Human Services oversees the provision of medical supplies and equipment to eligible Medicaid beneficiaries. The purpose of this manual is to provide pertinent information to medical supplies and equipment providers for successful participation in the South Carolina Medicaid program. This manual provides a comprehensive overview of the program, standards, policies and procedures for Medicaid compliance.
  • Item
    Dental services provider manual
    (2023-10-01) South Carolina Department of Health and Human Services
    The purpose of this manual is to provide pertinent information to dental health service providers for successful participation in the South Carolina Medicaid program. This manual provides a comprehensive overview of the program, standards, policies and procedures for Medicaid compliance.