Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in South Carolina?
Last verified October 17, 2026 · All South Carolina resources
South Carolina pays for Medicaid home care fee-for-service. South Carolina pays HCBS waiver services fee-for-service, so home care agencies enroll directly with SCDHHS. Since January 2026, some dual eligibles are in highly integrated D-SNPs aligned with a Healthy Connections Medicaid plan (Humana Dual Integrated, Molina Medicare Complete Care Plus and Wellcare Absolute Total Care Dual Align).
For the programs that pay for home care, see South Carolina Medicaid waivers.
What should you confirm with the state?
Confirm with SCDHHS whether a client's integrated D-SNP or aligned Medicaid plan covers any long-term services before billing.
Sources
More for South Carolina
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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