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  • Sc Dhhs Provider Enrollment Manual 2018

Get Sc Dhhs Provider Enrollment Manual 2018-2025

Fer 08/2017 Disclosure of Ownership and Control Interest Statement Form 12/2011 Trading Partner Agreement Instructions and Enrollment Form for Providers 01/2014 Trading Partner Agreement Instructions and Enrollment Form for Vendors and Clearinghouses 01/2014 Request for Taxpayer Identification Number and Certification 12/2014 Participation and Payment Agreement 07/2017 Preceptor/Protocol Agreement Form 01/2017 i.

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Contact support

If you have any questions regarding provider enrollment and screening, please contact the Provider Service Center at (888) 289-0709, Option 4. Visit https://.scdhhs.gov/provider for additional information. Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.

Requests can be made by calling the Healthy Connections Member Contact Center toll free at 1-888-549-0820 from 8 a.m.-6 p.m., Monday-Friday.

To Receive An Enrollment Package or send a written request to Medicaid Provider Enrollment, POB 8809, Columbia, SC 29202-8809. (803) 898-2605.

If you have questions or need help completing your application, call the South Carolina Healthy Connections Resource Center toll-free at 1-888-549-0820.

1-800-MEDICARE (1-800-633-4227) Get this form in Spanish.

Complete an online provider enrollment application and agreement and submit any necessary supporting documentation to Provider Enrollment via fax at 803-870-9022. Indicate Reference ID# on all supporting documentation and/or communication in reference to the submitted application.

Please contact their help line at (800) 726-8774 or visit them online at scthrive.org if you have questions or need assistance.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232