Report Fraud

SCDHHS Quality Initiatives

Medicaid members may be interested in finding out which Medicaid-participating primary care practices and doctors in South Carolina have been designated as Patient-Centered Medical Homes (PMCH) by a national non-profit, the National Committee for Quality Assurance (NCQA). For more information on what a Patient-Centered Medical Home is and the potential benefits are to patients, please see information at NCQA’s site, .

To search for a list of South Carolina practices recognized by NCQA, please access NCQA’s searchable list and select South Carolina under the list of filters by state.  Please note, that not all practices on the list participate in a Medicaid list; to verify which practices are in Medicaid, please access your health plan’s network directory or search the South Carolina Medicaid provider directory .

NCQA and Managed Care Organizations
Interested in finding more detail on how NCQA compares managed care organizations, also known as health plans? Members of the public can search NCQA’s site for health plan report cards to find South Carolina Medicaid managed care organizations (MCOs), or health plans at . For additional detail comparing health plans on various aspects of care and service, you may also search for South Carolina Medicaid health plans at .

Accredited– NCQA Report Cards

Download the South Carolina Department of Health and Human Services’

Quality Strategy document (Updated 2022)

Quarterly Service Authorization Report

Back to Top