South Carolina Department of Health and Human Services
10/01/2024 | Press release | Distributed by Public on 10/01/2024 14:43
Healthy Connections Medicaid Provider Training Opportunities October-December 2024
The South Carolina Department of Health and Human Services (SCDHHS) regularly offers free Healthy Connections Medicaid training to enrolled Healthy Connections Medicaid providers and their billing agents. These recurring trainings are conducted by SCDHHS' contracted vendors. Information about the upcoming October-December 2024 training is listed below.
Medicaid Learning Provider Workshops
SCDHHS' contracted vendor provides in-person training presentations and other materials on a variety of topics to ensure enrolled providers have an understanding of processes and programs. Please note, these trainings were previously held virtually but transitioned back to being held in-person at BlueCross BlueShield South Carolina-Government Programs Complex located at 17 Technology Circle, Columbia, SC 29203, unless otherwise noted.
To register for a workshop or find additional training resources, please visit www.medicaidelearning.com or call the Provider Service Center (PSC) at (888) 289-0709. The PSC's hours of operation are 7:30 a.m.-5 p.m. Monday-Thursday and 8:30 a.m.-5 p.m. Friday.
Below is a schedule of the provider workshops.
Medicaid Basics
This workshop will provide a basic overview of the South Carolina Healthy Connections Medicaid program. The training will address general policies and topics such as eligibility, claim filing options, the remittance package, third party liability (TPL) and claim-level adjustments.
Oct. 8, 2024, 10 a.m-4 p.m.
Nov. 6, 2024, 10 a.m-4 p.m.
Dec. 9, 2024, 10 a.m-4 p.m.
Comprehensive Web Tool
This workshop will explore all the available features on the South Carolina Healthy Connections Medicaid web-based claims submission tool. The training will navigate claim entry and submission as well as how to check eligibility, claim status and e-remits through the online tool.
Oct. 15, 2024, 10 a.m.-3 p.m.
Nov. 12, 2024, 10 a.m.-3 p.m.
Dec. 10, 2024, 10 a.m-3 p.m.
Overview of Claim-level Adjustments and TPL
This workshop will examine TPL reporting responsibilities, refund processes, claim adjudication, edit resolutions and information on other resources. Providers will also learn a detailed level of the process that gives professional providers the ability to submit claim-level adjustments directly to South Carolina Healthy Connections Medicaid.
Oct. 24, 2024, 10 a.m.-4 p.m.
Nov. 21, 2024, 10 a.m.-4 p.m.
Dec. 17, 2024, 10 a.m.-4 p.m.
Maximus Managed Care Enrollment Trainings
The training will inform providers about the Medicaid managed care enrollment process for South Carolina Healthy Connections Medicaid and Healthy Connections Prime. The training will also inform providers how to use the enrollment broker website, scchoices.com, and how to support Medicaid members in choosing their provider medical home and health plan.
The training is beneficial for any provider or provider office staff interested in understanding member enrollment, learning tips on how to retain Healthy Connections Medicaid members and finding out more about Healthy Connections Prime. For offices assisting patients with Medicaid applications, this training provides information useful in ensuring patients understand the full application process and next steps after their application is accepted.
Managed care enrollment training is available via webinar or telephone. The training is offered:
Oct. 11, 2024, 2-3:30 p.m.
Oct. 25, 2024, 10-11:30 a.m.
Nov. 8, 2024, 2-3:30 p.m.
Nov. 22, 2024, 10-11:30 a.m.
Dec. 13, 2024, 2-3:30 p.m.
Dec. 18, 2024, 10-11:30 a.m.
To schedule a training, please email [email protected]. If you have questions, please contact Michelle LeMoine at (803) 834-9956 or [email protected].