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South Carolina Department of Health

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Resources & Training

SC DHHS Manuals | Reference Material | Key Links & FAQs | Training

Key Links & FAQs

Key Links

Here are some key links to important information for providers.

  • SC DHHS Provider Manuals
  • SC DHHS Bulletins
  • Change Healthcare (InterQual)
Appeal Request

In accordance with regulations of SCDHHS, a provider wishing to file an appeal must request a hearing in writing and submit a copy of the notice of adverse action or the remittance advice reflecting the denial in question.

Appeals may be filed:

  • Online on the Appeals website at www.scdhhs.gov/appeals.
    You will receive an electronic confirmation via email after submitting an appeal.
    OR
  • Fax to (803) 255-8206
    OR
  • Mail Office of Appeals and Hearings
    PO Box 8206 Columbia, SC 29202
    Or
  • Email to appeals@scdhhs.gov

The request for an appeal hearing must be made within 30 days of the date of receipt of the notice of adverse action or 30 days from receipt of the remittance advice reflecting the denial, whichever is later.

Frequently Asked Questions (FAQs)
  • Atrezzo Connect - FAQ
  • FAQ: Q1 2022 Provider Transplant Training
  • Frequently Asked Questions

Training Opportunities

Please continue to check for upcoming opportunities

PowerPoint Presentations and Training Materials

ATREZZO Provider Portal

Atrezzo Portal New User MFA Registration video

All Atrezzo Provider Portal UM Create Case Wizard

Atrezzo Provider Portal Highlight Reel

Provider Portal Registration Overview

Provider Portal Utilization Management

Provider Portal Admin - How to Add & Manage Users

Atrezzo Quick Reference Guides

How to Add a User

Multi-Factor Registration and Login Process for Current Provider Users

Multi-Factor Registration and Login Process for New Portal Users

How to Add Additional Clinical Documentation

How to Add Additional Providers - Provider Admin

How to Add Chrome Browser

How to Change Context for Multiple Provider Locations

How to Clear Browser History in Chrome

How to Clear Browser History in Edge

How to Complete a Saved Request

How to Request a Reconsideration

How to Request an Authorization Revision

How to Reset Password or Unlock Account

How to View Case Summary

How to Review a Note

How to Update User Profile

How to View Determination Letter

How to View Action Buttons within a Case

How to View Messages in Message Center

How to Reset Users MFA

 

 

Annual Training Updates

2023-2024 Annual Provider Training

2022 Annual Provider Training

Assertive Community Treatment

2023 Assertive Community Treatment Prior Authorization Webinar slides 

 

Autism Spectrum Disorder (ASD)

2024 ASD Provider Education Presentation

ASD Provider Education Q & A June 2024

 

 

Behavioral Health

*Coming soon

Durable Medical Equipment (DME)

SPECIAL NOTICE: 6/19/2024 SCDHHS has informed Acentra Health the additional DME codes that were part of the prior authorization requirements effective July 1, 2024 is now on hold.  We apologize for any inconvenience and will update you as SCDHHS provides more information.  The 2024 Presentation is noted below, but no longer lists the codes we discussed related to 7/1/2024.

2024 DME Provider Education Presentation

DME Provider Education Q & A June 2024

Inpatient

2023 -2024 Inpatient Hospital education Approved SCDHHS2024

Inpatient Pediatric Rehab Approved SCDHHS

Home Health

2024 Home Health Education Approved SCDHHS

Hospice

2024 Hospice Refresh 11 2024 final

Hospice Refresher Frequently Asked Questions 2024 final

 

 

Laboratory

BRCA/CGM

Organ Transplant

2024 Transplant educationV2 APPROVED

Transplant Provider Training Q1 2022

Surgical Justification

2024 Surgical Justification V2 Approved-SCDHHS review

Therapy (PT, OT, ST)

2024 PT OT ST Therapy education V 3 Approved -SCDHHS review

Targeted Case Management

Targeted Case Managment 2024 Provider Education

 

 

 

Intensive Outpatient and Partial Outpatient Hospitalization - effective 10/1/2024

2024 IOP PHP Prior Authorization Implementation

Peer Support - RBHS effective 7/1/2024

2024 Peer Support Implementation Final

Archives

Kepro Provider DME Training Q2 2022

Kepro Provider ASD Training Q3 2022

Kepro ASD Provider Training FAQ Q3 2022

Contact Us
SCproviderissues@kepro.com
P: (855) 326-5219
F: (855) 300-0082

6802 Paragon Place,
Suite 440
Richmond, VA 23230

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