SCAM ALERT

Healthy Connections Medicaid team members and managed care plans will never ask for money, gift cards or something else of monetary value via text, email or a phone call. If someone contacts you asking for something of monetary value to get or keep Medicaid coverage, please report it by contacting the Medicaid fraud hotline at (888) 364-3224 Monday through Friday from 8:30 a.m. to 5 p.m. or by sending an email to FraudRes@scdhhs.gov.

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Provider Enrollment

Become a Medicaid Provider

Providers delivering Autism Spectrum Disorder (ASD) services must be enrolled with SCDHHS as a Medicaid provider to deliver and bill for Medicaid state plan benefit ASD services.

To enroll with SCDHHS as a Medicaid provider:

  1. Prep for Enrollment: Providers will need a national provider identification (NPI) and taxonomy number.
    1. Apply for individual National Provider Identifier (NPI) number.
    2. Use the correct taxonomy code as listed in the provider manual.
  2. Complete and submit the Medicaid provider enrollment application.
  3. SCDHHS will notify providers of successful enrollment.

*Note, BCBA and BCaBA providers must enroll individually. If there is a group practice, a group enrollment must also be completed.

Enrolling with an MCO

To enroll with one of the managed care organizations (MCOs), a provider must be an approved Medicaid provider. Providers need to contact the MCO directly to complete the network enrollment process. Providers are not required to enroll with an MCO, but they may not be reimbursed by the MCO for services provided to beneficiaries enrolled in managed care.

To enroll with an MCO, contact each MCO to begin the process of contracting, credentialing and enrolling.

MCO Contact Information