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

Recent Submissions

  • Community mental health (CMH) services provider manual 

    South Carolina Department of Health and Human Services (2022-07-01)
    The purpose of this manual is to provide pertinent information to community mental health service providers for successful participation in the South Carolina Medicaid program. This manual provides a comprehensive overview ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2022-05-01)
    The purpose of this manual is to provide pertinent information on physicians services and includes information on South Carolina Medicaid policies for general medical care, such as, office exams. This manual provides a ...
  • Clinic services provider manual 

    South Carolina Department of Health and Human Services (2022-05-01)
    The purpose of this manual is to provide pertinent information on clinic services which are described as preventive, rehabilitative, or palliative services that are furnished by a facility that is not part of a hospital, ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2022-04-01)
    The purpose of this manual is to provide pertinent information on physicians services and includes information on South Carolina Medicaid policies for general medical care, such as, office exams. This manual provides a ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2022-03-01)
    The purpose of this manual is to provide pertinent information on physicians services and includes information on South Carolina Medicaid policies for general medical care, such as, office exams. This manual provides a ...
  • Provider administrative and billing manual 

    South Carolina Department of Health and Human Services (2022-02-01)
    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, ...
  • Dental services provider manual 

    South Carolina Department of Health and Human Services (2022-01-01)
    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 ...
  • Provider administrative and billing manual 

    South Carolina Department of Health and Human Services (2022-01-01)
    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, ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2022-01-01)
    The purpose of this manual is to provide pertinent information on physicians services and includes information on South Carolina Medicaid policies for general medical care, such as, office exams. This manual provides a ...
  • Community mental health (CMH) services provider manual 

    South Carolina Department of Health and Human Services (2021-10-01)
    The purpose of this manual is to provide pertinent information to community mental health service providers for successful participation in the South Carolina Medicaid program. This manual provides a comprehensive overview ...
  • Dental services provider manual 

    South Carolina Department of Health and Human Services (2021-10-01)
    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 ...
  • Durable medical equipment services provider manual 

    South Carolina Department of Health and Human Services (2021-10-01)
    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 ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2021-08-01)
    The purpose of this manual is to provide pertinent information on physicians services and includes information on South Carolina Medicaid policies for general medical care, such as, office exams. This manual provides a ...
  • Hospital services provider manual 

    South Carolina Department of Health and Human Services (2021-09-01)
    The purpose of this manual is to provide pertinent information on hospital services. In order to receive Medicaid reimbursement for services, hospitals must meet the program requirements outlined in this manual. This manual ...
  • Clinic services provider manual 

    South Carolina Department of Health and Human Services (2020-07-01)
    The purpose of this manual is to provide pertinent information on clinic services which are described as preventive, rehabilitative, or palliative services that are furnished by a facility that is not part of a hospital, ...
  • Licensed independent practitioner's (LIP) rehabilitative services provider manual 

    South Carolina Department of Health and Human Services (2021-04-15)
    Rehabilitative Services are medical or remedial services that have been recommended by a Physician or other Licensed Practitioner of the Healing Arts within the scope of their practice under South Carolina State Law and ...
  • Local education agencies (LEA) services provider manual 

    South Carolina Department of Health and Human Services (2021-05-01)
    The South Carolina Department of Health and Human Services provides Medicaid reimbursement for medically necessary services provided to Medicaid-eligible individuals in the Local Education Agency. Medical Necessity means ...
  • Provider administrative and billing manual 

    South Carolina Department of Health and Human Services (2021-06-01)
    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, ...
  • Rehabilitative behavioral health services (RBHS) provider manual 

    South Carolina Department of Health and Human Services (2021-07-01)
    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, ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2021-07-01)
    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 ...

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