General Info
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Send CMS-1500 and UB-04 claims and their associated adjustments to SC Medicaid via the Internet.
General Info For Providers and Researchers
- All Provider Manuals
- Provider Bulletins
- E-Bulletins
- Provider Enrollment
- Provider Training
- Search For a Provider
- Payment Error Rate Measurement (PERM) Information.
- Sponsored Medicaid Worker Program
- SMWP Brochure Hospital Cost Report Settlement Worksheet
Fee Schedules
Physicians
Effective For Dates Of Service 01/01/2012Family Practice, General Practice, Osteopath, Internal Medicine, Pediatrics, Geriatrics Obstetrics, OB/GYN, Maternal Fetal Medicine All other physicians excluding Obstetrics, OB/GYN, Maternal Fetal Medicine
Pediatric
Pediatric Subspecialist excluding Neonatologist NeonatologistAnesthesiologist
Effective For Dates Of Service 01/01/2012Injectable Drug Fee
Effective For Dates Of Service 10/01/2011
Effective For Dates Of Service 07/11/2011Independent Lab and X-ray
Effective For Dates Of Service 01/01/2012- Independent Lab
- 20120101_INDEP_LAB_SCHED.xls
- 20120101_INDEP_LAB_SCHED.pdf
- Independent X-ray
- 20120101_XRAY_SCHED.xls
- 20120101_XRAY_SCHED.pdf
Private and School Base Rehabilitative Therapy Services
Effective For Dates Of Service 01/01/2012- Private Rehab Services
- 20120101_PRIVATE_REHAB_SCHED.pdf
- 20120101_PRIVATE_REHAB_SCHED.xls
- School Based Rehab Services
- 20120101_SCHOOL BASED REHAB_SCHED.pdf
- 20120101_SCHOOL BASED REHAB_SCHED.xls
Dental Services
Effective For Dates Of Service 07/11/2011Oral and Maxillofacial Surgeons
Effective For Dates Of Service 07/11/2011Durable Medical Equipment
Effective For Dates Of Service 01/01/2012Incontinence Supplies
Effective For Dates Of Service 07/11/2011Some documents require other software
Medicare & Health Insurance Carrier Code Lists
- Megallan Carrier Code List Alpha
11/28/2011 (MS Excel Spread sheet) - Megallan Carrier Code List Numeric
11/28/2011 (MS Excel Spread sheet) - Carrier Code List Alpha
11/28/2011 (MS Excel Spread sheet) - Carrier Code List Numeric
11/28/2011 (MS Excel Spread sheet) - Medicare Advantage Plan Carriers
01-11-10 (MS Excel Spread sheet)
EDI Forms

