Select Health Of Sc Credentialing Requirements

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Credentialing - Select Health of SC

(Just Now) WebPlease contact your Provider Network account executive for the additional documents required. Simply having a CAQH record does not initiate the credentialing process with Select Health. To learn more about the credentialing process, please refer to your …

https://www.selecthealthofsc.com/provider/resources/credentialing.aspx

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Policies Provider Development Select Health

(3 days ago) WebSelect Health may use additional coverage criteria where a medical policy is not available: InterQual Criteria. For Select Health Medicare Nevada: MCG Criteria. Find the exact …

https://selecthealth.org/providers/resources/policies

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Facility/Ancillary/Provider Credentialing Application - Select …

(9 days ago) WebFacility Ancillary Provider Credentialling Application - Provider Services - First Choice - Select Health of South Carolina Author: Select Health of South Carolina Subject: …

https://www.selecthealthofsc.com/pdf/provider/credentialing/provider-cred-application.pdf

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2020 External Quality Review - SC DHHS

(5 days ago) WebOverall, Select Health met the requirements set forth in 42 CFR Part 438 Subpart Dand the Quality Assessment and Performance Improvement (QAPI) program requirements …

https://msp.scdhhs.gov/managedcare/sites/default/files/SCEQR_SelectHealth%20EQR%20Final%20Report%202020_Revised.pdf

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2019 External Quality Review - SC DHHS

(Just Now) Webthe Credentialing Program 2019 document discusses the process Select Health uses for initial credentialing and recredentialing of practitioners and organizational providers. All …

https://msp.scdhhs.gov/managedcare/sites/default/files/SCEQR_Select%20Health%202019%20EQR%20Final%20Report.pdf

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Network Eligibility Provider Development Select Health

(4 days ago) WebNetwork Eligibility Requirements . For prescribing behavioral health providers (excluding Advance Practice Professionals): Meet credentialing criteria, PPSC approval as …

https://selecthealth.org/providers/behavioral-health/eligibility

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2017 External Quality Review

(4 days ago) WebSelect Health of South Carolina (Select Health) since the 2016 annual review. This report contains a description of the process and the results of the 2017 External Quality Review …

https://www.scdhhs.gov/sites/default/files/managedcare/SCEQR_Select%20Health%20Final%20Report%202017.pdf

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Welcome Provider Development Select Health

(6 days ago) WebYou can find that information in the appendices attached at the end your Participating Provider Services Agreement (PPSA). Use your patients’ Member ID cards to identify …

https://selecthealth.org/providers/new-providers/welcome

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Behavioral Health Services SCDHHS

(4 days ago) WebFirst Choice by Select Health of SC: (888) 276-2020; Humana Healthy Horizons of SC: (866) 432-0001; They may choose to enroll based on their credentialing …

https://www.scdhhs.gov/resources/programs-and-initiatives/behavioral-health-services

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Provider Manual - First Choice Next

(9 days ago) WebChanges based on plan, state, or federal requirements may be made . at any time. This document applies to First Choice Next individual and . family health insurance products …

https://www.firstchoicenext.com/_assets/assets/pdf/provider/resources/provider-manual.pdf

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2021 External Quality Review - SC DHHS

(6 days ago) WebProcesses and requirements for credentialing and recredentialing activities are documented in policies. Credentialing and recredentialing files were well-organized and, …

https://msp.scdhhs.gov/managedcare/sites/default/files/SCEQR_Select%20Health%202021%20EQR%20Report%20%28002%29_0.pdf

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PROVIDER ENROLLMENT and SCREENING REQUIREMENTS

(Just Now) WebPROVIDER ENROLLMENT and SCREENING REQUIREMENTS • Be licensed by the appropriate licensing body, certified by the standard-setting agency, and/or other pre …

https://www.scdhhs.gov/sites/default/files/PE-Screening%20Requirements%20Web%20Page%2012.20.2021.pdf

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Join Our Network Healthy Blue of South Carolina

(6 days ago) WebContact Information. Call Provider Services at 800-868-2510 and select option 5. There are two available options. Both will allow you to speak with a representative. Press 1 for …

https://www.healthybluesc.com/providers/join-our-network

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My Provider Enrollment Portal - South Carolina Blues

(6 days ago) WebMy Provider Enrollment Portal. My Provider Enrollment Portal (MyPEP) is our new provider enrollment tool. It offers a web-based solution for providers who are credentialed or …

https://www.southcarolinablues.com/web/public/brands/sc/providers/provider-enrollment/my-provider-enrollment-portal/

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Frequently Asked Questions (FAQ) SCDHHS

(2 days ago) WebWhat are the documentation requirements for reimbursement for telehealth services? Will the South Carolina Medicaid program require wet-ink signatures? Providers are …

https://www.scdhhs.gov/resources/covid-19/frequently-asked-questions-faq

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Provider Enrollment Frequently Asked Questions

(8 days ago) WebWe send re-credentialing letters to physicians. If a facility has a designated department or contact person that handles credentialing on file, we send the notification there. If a …

https://www.southcarolinablues.com/web/public/brands/sc/providers/tools-and-resources/frequently-asked-questions/provider-enrollment-faqs/

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