Reference Tools
- Health Plan Initiated Member Disenrollment Form
- Disclosure of Ownership and Control Interest Statement SCDHHS Form 1514
- Managed Care Eligibility
- Managed Care Supplement
- Universal Prior Authorization Request Form: Medications
- Universal Synagis Prior Authorization Form
- MCO Universal Newborn Prior Authorization Form
- MCO Universal 17-P Prior Authorization Form
- MCO Universal BabyNet Prior Authorization Form
