Background

The Centers for Medicare & Medicaid Services (CMS) has mandated that providers revalidate their enrollment information. Providers should not take any steps to revalidate their enrollment until they receive an official notification letter from the South Carolina Department of Health and Human Services (SCDHHS).

The enrollment application fee of $569.00 is only applicable to providers that CMS has identified as institutional providers. The application fee must be collected before the revalidation provider enrollment agreement will be approved. Providers that are required to pay the fee may be exempt if the provider is already enrolled in Medicare, enrolled in another state’s Medicaid or CHIP program or submitted and received approval for a Hardship Waiver request. South Carolina Healthy Connections Medicaid recognizes and enrolls the following institutional providers:

  • Ambulatory Surgery Centers
  • Community Mental Health Centers
  • Comprehensive Outpatient Rehabilitation Facilities
  • Durable Medical Equipment
  • End Stage Renal Disease Facilities
  • Federally Qualified Health Centers
  • Home Health Agencies
  • Hospices
  • Hospitals
  • Independent Clinical Laboratories
  • Pharmacies
  • Skilled Nursing Facilities
  • Rural Health Clinics

For questions about this fee, please contact the Provider Service Center (888) 289-0709, option 4.

 

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