SC Medicaid Providers Classified as ‘High Risk’ Required to Submit Fingerprint Checks

​Beginning in July, the South Carolina Department of Health and Human Services will proactively work with all Healthy Connections Medicaid-enrolled providers who are categorized as high-risk to ensure they are in compliance with federal regulations. CMS requires providers classified as “high risk” to submit fingerprint-based criminal background checks.

Effective August 15, fingerprint-based checks will become a requirement for providers enrolling in Healthy Connections Medicaid. Newly-enrolling and revalidating high-risk providers will be required to meet the FCBC requirements during the initial enrollment and revalidation processes.
 
SCDHHS will notify currently-enrolled high-risk providers who are required to submit fingerprints in writing with the actions necessary to comply with this federal requirement.
 
Please note that this August deadline is for all “high-risk providers” as outlined in the bulletin, not all providers in general. So unless a provider checks any of the boxes outlined in the bulletin that defines them as high risk, they shouldn’t be impacted.  
 
Click here for FAQs on this requirement.