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My healthy connection professional#
(Highly dependent on Medicare, Medicaid and CHIP to pay salaries and other operating expenses and which are not subject to additional governmental or professional oversight and would be considered moderate risk)
Nursing Homes, Hospitals, Public and Private Community Mental Health Centers, Audiologists, Certified Nurse Midwife/Licensed Midwife, Certified Registered Nurse Anesthetists, Anesthetist Assistants, CMS Parts A & B, Managed Care Organizations, Licensed Marriage and Family Therapists, Licensed Professional Counselors, Licensed Independent Social Workers –Clinical Practice, Psychologists, Speech Therapists, Nurse Practitioners, Physician’s Assistants, Occupational Therapists, Physicians, Speech and Hearing Clinics, End Stage Renal Disease Clinics, DHEC Clinics, Federally Qualified Health Clinics, Federally Funded Health Clinics and Rural Health Centers, Ambulatory Surgical Centers, Diabetes Education Clinics, School Districts, Developmental Rehabilitation Clinics, Infusion Centers, Pediatric Aids Clinics, Maternal and Child Health Clinics, Dentists, Opticians, Optometrists, Podiatrist, Chiropractors, Pharmacy, Pharmacy Part D, Individual Transportation Providers, Contractual Transportation Providers, Transportation Broker, X-Ray (not portable). Physician or non-physician practitioners and medical groups or clinics (excluding Physical Therapists and Physical Therapists Groups). (State-regulated and State-licensed would generally be categorized as limited risk) See the list below for SCDHHS risk categories: 
For those provider types that are not recognized under Medicare, SCDHHS has assessed the risk of fraud, waste and abuse using similar criteria to those used in Medicare. Three levels of screening (limited, moderate and high) are recognized for those provider types that are also recognized provider or supplier types under Medicare.
Revalidation of enrolled providers at least every five years, with the exception of DME providers, who need to revalidate every three years. Implementation of a temporary moratorium on new provider enrollments, when instructed by CMS, to protect against high risk of fraud and abuse. Institution of application enrollment fees for business organizations and entities that are enrolling with South Carolina Medicaid with an Employee Identification Number (EIN). This is defined as the revocation of Medicaid billing privileges for specific reasons such as denial/termination from the Medicare program, denial/termination from other state Medicaid and Children’s Health Insurance Programs, or other reasons based on credible allegations of fraud, integrity or quality. Denial of enrollment and/or termination of a provider from the Medicaid program “for cause”. Suspension of provider Medicaid payments in cases of credible allegations of fraud. 
Enrollment of ordering/referring providers. Updated Disclosure of Ownership and Controlling Interest Statements. 
At the present time, the criminal background checks and fingerprinting are not required. Fingerprint-based criminal history records checks.
Background checks and unannounced pre and post enrollment site visits. Enhanced provider screening and enrollment based on risk categories (limited, moderate and high) for fraud, waste and abuse for each provider type as assigned by CMS and the SCDHHS. If you are experiencing a medical emergency, you should proceed to the nearest emergency room or call 911. We offer sliding scale fees to those who qualify. Healthy Connections provides medical, dental, and social services care regardless of ability to pay. My healthy connection plus#
Health Connector members can visit a walk-in center to complete a new application, make changes to your existing Health Connector account, plus Send us a message using the MassHealth Dentail Member email form about your dental care or benefit. What can i do with my health connector account? You can also call us toll-free at 1.855.395.9031 Monday-Friday, 8 a.m.
My healthy connection how to#
If you have additional questions about how to access your account or navigate within My Health Connection, please use the Contact us email form and select My Health Connection in the reason dropdown. Advertisement Frequently Asked Questions How do i contact my health connection?
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