Sc wkr001 form 2025

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The document is an Annual Review Form for the South Carolina Medicaid Program, which requires beneficiaries to provide updated information regarding their income, resources, and household composition. It emphasizes the importance of returning the form by a specified deadline to avoid loss of Medicaid coverage, outlines the necessary documentation needed for verification, and details the rights and responsibilities of applicants.

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How do I check the status of my Medicaid claim in SC?

Check claim status Go to NaviNet Opens a new window or call Provider Claims Services at 1-800-575-0418.

What is proof of income for Medicaid in SC?

Copies of pay stubs for the last 4 weeks or a letter from your employer that shows your last 4 weeks of GROSS pay.

How do I file a Medicaid claim in SC?

Claim Submission Tool (Web Tool) Toll Free-Dial 1-888-289-0709. Fax to (803) 870-9021. Email us at EDIG.OPS-MCAID@palmettogba.com.

What is the timely filing for Medicaid in SC?

Providers must file claims with Medicaid within a year of the date of service.

How do I verify my Medicaid eligibility in SC?

Verifying Eligibility for Enrolled Members Providers can access information online to help determine if an individual is enrolled in Medicaid through the South Carolina Medicaid Web Portal, commonly known as the web tool. To access the web tool, please visit .

Where do I mail my Healthy Connections claim in SC?

The reports and checks may be mailed regular or certified mail to MIVS, Attn: Benefit Recovery Credit Balance Reporting, P.O. Box 8355, Columbia, SC 29202-8355 or may be sent by facsimile to MIVS, Attn: Benefit Recovery Credit Balance Reporting, 803-462-2582.

What is the number for South Carolina Healthy Connections Medicaid provider?

You can also contact your Medicaid eligibility worker or call the South Carolina Healthy Connections Resource Center toll-free at 1-888-549-0820.

How do I report income change to Medicaid in SC?

If you have any changes to your income, resources, living arrangements, address or anything else that might affect your eligibility (for example, a child moved out or spouse went to work) you must report these changes to Healthy Connections right away at 1-888-549-0820.

Sc wkr001 form 2025

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