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Click ‘Get Form’ to open the SC Uniform Managed Care document in the editor.
Begin by filling out the Demographic Data section. Enter your full name, practice name, and specialty. Ensure you provide your Social Security Number and NPI for identification.
Complete the Address field with your office details, including phone and fax numbers. Don’t forget to include a contact person for credentialing and their contact number.
In the Certification Education Update section, indicate if you are board certified and provide details about your medical school and professional license number.
Answer all questions in the following section truthfully. This includes any legal issues or health conditions that may affect your practice.
Review all information for accuracy before signing. Remember, each submission requires an original signature and current date; electronic signatures are not acceptable.
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While managed care is the dominant Medicaid delivery system, states decide which populations and services to include in managed care arrangements, which leads to considerable variation across states.
Is Blue Choice health Plan of SC Medicaid?
Included in our family of companies is BlueChoice HealthPlan of South Carolina, our managed care subsidiary, which includes Healthy BlueSM, our Medicaid health plan. BlueChoice is an independent licensee of the Blue Cross Blue Shield Association.
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