Provider Manual & Orientation- South Carolina
Welcome to Molina Healthcare of South Carolina.
Provider Manual
Live Provider Orientation Trainings:
7/22/2024 at 2 p.m. Click here to register.
You should have received a copy of your Molina Provider Manual, written specifically to address the contractual and regulatory requirements of delivering health care services to Molina Healthcare of South Carolina members.
The manual is designed to provide you with assistance in all areas of your practice, from making referrals to receiving payment for your services. In some cases, you may have developed internal procedures that meet the standards set out in this manual. In these instances, you do not need to change your procedures as long as they adhere to the standards outlined in the manual.
The manual contains samples of the forms needed to fulfill your obligations under your Molina Healthcare contract. If you are already using forms that accomplish the same goals, you may not need to modify them. The sample forms are included to illustrate what is needed for appropriate documentation. Updates and revisions are made to this manual throughout the year as our policies or regulatory requirements change. Whenever these changes occur, the website will contain the most up-to-date provider manual.
Thank you for your active participation in the delivery of quality health care services to our members. Although this manual contains a comprehensive summary of Molina Healthcare of South Carolina’s policies and procedures, additional protocols regarding plan administrative practices, full plan medical policies, and other detailed information are available to the provider upon request by calling the Molina Provider Services department at (855) 237-6178.