South Carolina Healthy Connections (SCDHHS)

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Acentra Health (formerly KEPRO) — FFS utilization management / QIO prior authorization

Official page read
Phone855-326-5219Fax

855-300-0082

Published email

SCproviderissues@acentra.com

Published hours

Not published in this record

Product, plan and location

medicaid
South Carolina

Mailing address

Not researched for this route

SCDHHS Healthy Connections fee-for-service UM/QIO (medical review prior authorization, transplant PA for FFS and MCO). Do not include PHI in email per Acentra. Pharmacy PA is not handled here.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

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  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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