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SC Medicaid Provider Enrollment: The 2026 Guide for Practices

SC Medicaid provider enrollment 2026 hero banner: SCDHHS 30-business-day processing with 90-day retroactive backdating, the July 2026 ORP claim rejection edit requiring an individual ordering provider NPI, June 2026 revalidation frequency change, the Trading Partner Agreement reciprocity requirement, and all five Healthy Connections MCOs, from One O Seven RCM.

You’re here for one of three reasons. A new provider starts next month and still isn’t enrolled. Your application has been sitting in the SCDHHS portal for weeks with no answer. Or a revalidation letter arrived with a deadline printed on it. SC Medicaid provider enrollment covers all three, and the rules changed twice this […]

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