{"reporting_entity_name":"Molina-Healthcare-of-SouthCarolina","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-08-07","version":"2.0.0","provider_references":[{"provider_group_id":216379,"network_name":["SC Network"],"provider_groups":[{"npi":[1669989554],"tin":{"type":"ein","value":"815120618","business_name":"CAROLINA CENTER FOR RECOVERY"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"ALCOHL and /RX SRVC;INTENSV OP;CRISIS INTRVN and ACTV TX","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H0015","description":"ALCOHL and /RX SRVC;INTENSV OP;CRISIS INTRVN and ACTV TX","negotiated_rates":[{"provider_references":[216379],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"ALCOHOL  AND OR OTH DRUG TREATMENT PROGRAM PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"H2036","description":"ALCOHOL  AND OR OTH DRUG TREATMENT PROGRAM PER DIEM","negotiated_rates":[{"provider_references":[216379],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]},{"negotiation_arrangement":"ffs","name":"PARTIAL HOSPITALIZATION SERVICES LT  24 HR PER DIEM","billing_code_type":"CPT","billing_code_type_version":"2022","billing_code":"S0201","description":"PARTIAL HOSPITALIZATION SERVICES LT  24 HR PER DIEM","negotiated_rates":[{"provider_references":[216379],"negotiated_prices":[{"setting":"both","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"inpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"},{"setting":"outpatient","negotiated_type":"FFS","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"Professional"}]}]}]}