Provider Revalidation Updates

REQUIREMENTS: - Immediately: All South Carolina providers in the following high-risk categories must monitor for revalidation notification letters: durable medical equipment suppliers, home health agencies, rehabilitative behavioral health services providers, licensed independent practitioners (including groups and multi-specialty practices), applied behavior analysis providers, and personal care services providers. - Upon receipt of revalidation letter: Obtain the unique revalidation code included in the notification and initiate the revalidation process immediately. Revalidation cannot begin without this code. - Within 12 months (by August 2027): Complete all required revalidation components including documentation submission, site visits, and fingerprint-based criminal history background checks as directed by SCDHHS. - Billing team and provider enrollment staff: Ensure provider credentials and enrollment records are current and accurate before revalidation letters arrive. Verify mailing addresses on file. - If no letter has been received: Do not attempt to begin revalidation. Wait for official SCDHHS notification via mail. - Consequences of inaction: Failure to complete revalidation within the designated timeframe may result in provider disenrollment from Healthy Connections Medicaid and loss of ability to bill for services rendered to Medicaid beneficiaries. - For questions: Contact the Provider Service Center at (888) 289-0709, option four, or visit www.scdhhs.gov/providers/revalidation.