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

Recent Submissions

  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2020-02-01)
    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 ...
  • Rural health clinic (RHC) behavioral health services provider manual 

    South Carolina Department of Health and Human Services (2020-01-01)
    The purpose of this manual is to provide pertinent information to rural health clinic behavioral health service providers for successful participation in the South Carolina Medicaid program. This manual provides a comprehensive ...
  • Rehabilitative behavioral health services (RBHS) provider manual 

    South Carolina Department of Health and Human Services (2020-01-01)
    his 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, ...
  • Psychiatric hospital services provider manual 

    South Carolina Department of Health and Human Services (2020-01-01)
    The purpose of this manual is to provide pertinent information to Inpatient Psychiatric Service providers for successful participation in the South Carolina Medicaid Program. It provides a comprehensive overview of the ...
  • Provider administrative and billing manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    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, ...
  • Private rehabilitative therapy & audiological services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    The purpose of this manual is to provide pertinent information to rehabilitative therapy and audiological service providers for successful participation in the South Carolina Medicaid program. This manual provides a ...
  • Physicians services provider manual 

    South Carolina Department of Health and Human Services (2020-01-01)
    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 ...
  • Pharmacy services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    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 ...
  • Optional state supplementation services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    The mission of the Optional State Supplementation (OSS) program is to enhance the quality of life for Medicaid consumers living in licensed Community Residential Care Facilities (CRCFs). The OSS program is committed to ...
  • Nursing facility services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    A nursing facility is a health-related facility which fully meets the requirements for state nursing facility licensure and must be surveyed for compliance with the requirements of participation in the Medicaid program by ...
  • Medicaid targeted case management (MTCM) provider manual 

    South Carolina Department of Health and Human Services (2020-01-01)
    Medicaid Targeted Case Management (MTCM) is a means for achieving beneficiary wellness through communication, education and service(s) identification and referral. MTCM is a time-limited process that provides an organized ...
  • Medicaid member handbook 

    South Carolina Department of Health and Human Services (2019-12-19)
    This manual covers such topics as How Medicaid works, Managed care organizations,Choosing a managed care organization, Choosing and using a doctor, Your covered benefits and services,Copayments, Family planning services, ...
  • Local education agencies (LEA) services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    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 ...
  • Licensed independent practitioner's (LIP) rehabilitative services provider manual 

    South Carolina Department of Health and Human Services (2020-01-01)
    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 ...
  • Hospital services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    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, ...
  • Hospice services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    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, ...
  • Home health services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    The purpose of this manual is to provide pertinent information to home care service providers for successful participation in the South Carolina Medicaid program. This manual provides a comprehensive overview of the program, ...
  • Federally qualified health center (FQHC) behavioral health services provider manual 

    South Carolina Department of Health and Human Services (2020-01-01)
    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, ...
  • Enhanced services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    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, ...
  • Durable medical equipment services provider manual 

    South Carolina Department of Health and Human Services (2019-07-01)
    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 ...

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