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SC Medicaid - SCDHHSMedicaid · Administrative · Enrollment · SCHigh impact

Medicaid Enrollment of Ordering, Referring and Prescribing (ORP) Providers and Collection of ORP Data

Act
immediately
Effective date
Jul 2, 2025
Identified
Jun 18, 2026

Summary

Federal law now requires all providers who order, refer, or prescribe services for Medicaid members to enroll with South Carolina DHHS as Medicaid providers, even if they don't bill Medicaid directly. This includes current providers and those who may serve Medicaid patients in the future.

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What to do

immediately · 4 steps
01All providers who order, refer, or prescribe services for Medicaid patients must enroll with SCDHHS at their website, selecting 'Ordering/Referring' provider type.
02Providers already enrolled and billing Medicaid do not need separate enrollment.
03Contact Provider Service Center at (888) 289-0709 with questions.
04Non-compliance may result in inability to order/refer services for Medicaid patients.

Original notice

Medicaid Enrollment of Ordering, Referring and Prescribing (ORP) Providers and Collection of ORP Data
scdhhs.gov · Always check the source before changing claims.
View original ↗

Related changes

See all SC Medicaid - SCDHHS changes →
Medicaid Ordering, Referring and Prescribing (ORP) Providers UpdateHighEffective Jul 1, 2026 · EnrollmentBrowse every SC Medicaid - SCDHHS change in the policy list

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SC Medicaid - SCDHHS policiesSC policy changes

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