Providers

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

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File claims, get prior authorizations, check eligibility and benefits and more.

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Call Provider Services: 1-866-757-8286

Monday – Friday, 8:30 AM – 5 PM

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Have questions?

Call Provider Services: 1-866-757-8286

Monday – Friday, 8:30 AM – 5 PM

SCDHHS Implements Preferred Drug List

As of July 1, 2024, South Carolina Department of Health and Human Services (SCDHHS) offers a single Preferred Drug List for all providers within the Healthy Connections program. The purpose of the SCDHHS single PDL is to adopt use of the most cost-effective medication available. Members will still be able to access their current prescriptions for up to six months after the change is in effect or through December 31, 2024, even if their medication is not listed on the SCDHHS single PDL.

Review more information on the drug list changes.
 

New Feature Alert

Authorization Lookup Tool

Great news! The Prior Authorization Lookup Tool is coming back July 1, 2024. Review the available bulletin to read more.

Patient Care Information

BabyNet includes services for ages 0-3.

BabyNet

BabyNet is South Carolina’s early intervention system for infants and toddlers ages 0 - 3 with developmental delays, or who have conditions associated with developmental delays.

All current Medicaid services are included in BabyNet. All emails for the South Carolina BabyNet program with Healthy Connections should be sent directly to BabyNet@scdhhs.gov.

BabyNet Enrollment

New Baby, New Life

Proactive Case Management for Pregnant Members

We encourage all moms-to-be to take part in the New Baby, New Life program, a comprehensive case management and care coordination program for all expectant mothers and their newborns.

Maternal Child Services

Integrated Health Care

Behavioral Health

Healthy Blue facilitates integrated physical and behavioral health services as a vital part of health care. 

Review Medical UM Guidelines related to the delivery of behavioral health services.

Behavioral Health SERVICES

See the available contact information for our benefit partners.

Benefit Partners

Healthy Blue has several benefit partners that offer additional services to our members.

Benefit Partners 

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Provider News

The latest articles and announcements on claims filing, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information and more.