April - 2004
Alcohol/Other Drug (AOD) Abuse Services Providers
Description: Revised Mediciad AOD Policy Posted: 4/27/2004 6:40:35 PM
South Carolina Vaccine Assurance For All Children (VAFAC) Program Participants
Description: Change in Procedure Codes and Rates Posted: 4/1/2004 8:21:26 PM
March - 2004
CLTC and DME Providers
Description: HIPAA Change for Waiver Providers Posted: 3/23/2004 2:28:24 PM
Local Education Agency Providers
Description: Orientation and Mobility Specialist Certification Change Posted: 3/8/2004 9:04:39 PM
State Agencies that contract for Wraparound Services
Description: Changes in Community-Based Wraparound Services (formerly Wraparound Services) Posted: 3/8/2004 8:59:00 PM
Medicaid Providers
Description: Co-Payments Posted: 3/3/2004 2:37:12 PM
Physicians, Behavioral Health
Description: Clarification of Counseling and Behavioral Health Services Revised HIPAA Compliant Procedure Codes Posted: 3/3/2004 2:33:33 PM
February - 2004
Medicaid Providers
Description: Notice of Important Coding Changes Related to HIPAA Posted: 2/27/2004 9:34:19 PM
Medicaid Providers
Description: Notice of Important Coding Changes Related to HIPAA Posted: 2/26/2004 9:11:37 PM
Psychological Services Providers for Children Under 21 Years of Age
Description: Revised HIPAA Compliance Procedure Codes Posted: 2/26/2004 8:09:10 PM
Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services to Individuals Under Age 21
Description: Change in Facility Reporting Requirements (42 CFR Part 483, Subpart G) Supplemental Posted: 2/26/2004 7:44:40 PM
State Child Placing Agencies Out-Of-Home Placement Providers
Description: Changes in Program Oversight Duties Posted: 2/10/2004 2:20:00 PM
Physicians and Other Medical Professionals
Description: Clarification for the Use of Procedure Code 95904 Posted: 2/3/2004 8:05:41 PM
January - 2004
Community Health Service Providers
Description: New Medicaid Reimbursable Service Posted: 1/29/2004 1:59:10 PM
State Child Placing Agencies and Therapeutic Foster Care Service Providers
Description: Revised Therapeutic Foster Care Standard Posted: 1/16/2004 7:38:32 PM
State Child Placing Agencies and Supervised Independent Living Service Providers
Description: Revised Supervised Independent Living Standard Posted: 1/16/2004 7:36:14 PM
All Medicaid Providers
Description: PAM (Payment Accuracy Measurement) Project Posted: 1/16/2004 7:34:40 PM
Physicians and Other Medical Professionals
Description: Clarification for the Use of Procedure Code 95904 Posted: 1/15/2004 3:24:55 PM
Providers Indicated
Description: I. Establishment of Quantity Limits for Certain Drugs
II. Appropriate Use of Monthly Prescription Limit Override Posted: 1/15/2004 3:19:39 PM
October - 2003
HIPAA Update
Description: The Health Insurance Portability and Accountability Act (HIPAA) requires that national uniform standards for electronic transactions to be adopted. In oder to comply with this federal mandate, effective October 16, 2003, local community mental health procedure codes used in claims submission will no longer be accepted for dates of service after October 15, 2003. Posted: 10/16/2003 1:34:23 PM
September - 2003
Update to Current Dental Terminology (CDT)
Description: Four procedure codes billing changes due to HIPAA compliance Posted: 9/26/2003 12:50:17 PM
HIPAA Update
Description: DHHS announces plan to accept HIPAA non-compliant electronic transactions for Medicaid after Oct. 16 deadline. Posted: 9/26/2003 12:45:19 PM
Vision Services
No summary was provided for this bullietin. Posted: 9/18/2003 2:38:48 PM
Preparation for HIPAA Compliance attachment
No summary was provided for this bullietin. Posted: 9/18/2003 2:13:19 PM
Preparation for HIPAA Compliance
No summary was provided for this bullietin. Posted: 9/18/2003 2:10:35 PM
Reminder for Medicaid Patients
No summary was provided for this bullietin. Posted: 9/15/2003 6:51:19 PM
Vision Services
No summary was provided for this bullietin. Posted: 9/8/2003 4:47:00 PM
South Carolina Medicaid Dental Workshops
No summary was provided for this bullietin. Posted: 9/8/2003 11:09:00 AM
August - 2003
Pharmacy Service Providers
Description: Conversion to NCPDP version 5.1 format, Schedule of training sessions for version 5.1 Posted: 8/19/2003 5:24:32 PM
Requirements for HIPAA Compliance Part 3: Training schedule
No summary was provided for this bullietin. Posted: 8/15/2003 3:48:34 PM
Requirements for HIPAA Compliance Part 2: SC Medicaid Trading Partner Agreement
No summary was provided for this bullietin. Posted: 8/15/2003 3:46:49 PM
Requirements for HIPAA Compliance Part 1
No summary was provided for this bullietin. Posted: 8/15/2003 3:40:24 PM
July - 2003
Facility Reporting Requirements (42 CFR Part 483, Subpart G) Supplemental
No summary was provided for this bullietin. Posted: 7/17/2003 7:20:14 PM
SyvekPatch - Providers of End Stage Renal Disease Services
No summary was provided for this bullietin. Posted: 7/2/2003 2:38:22 PM
June - 2003
Local Codes - Notice of Important Change
No summary was provided for this bullietin. Posted: 6/19/2003 1:14:12 PM
Sterilization Consent Form with Letters
No summary was provided for this bullietin. Posted: 6/4/2003 2:12:59 PM
Sterilization Consent Form and Chart
No summary was provided for this bullietin. Posted: 6/4/2003 2:11:04 PM
Clarification of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Requirements for Blood Lead Testing
No summary was provided for this bullietin. Posted: 6/4/2003 2:07:40 PM
May - 2003
Durable Medical Equipment Fee Schedule Attachment
No summary was provided for this bullietin. Posted: 5/13/2003 6:46:23 PM
Hospital Providers - Adjustments for Part A Crossover Claims Paid Under the 50% Methodology
No summary was provided for this bullietin. Posted: 5/6/2003 1:34:30 PM
Providers of End Stage Renal Disease Services - Adjustments for Part A Crossover Claims Paid Under the 50% Methodology
No summary was provided for this bullietin. Posted: 5/6/2003 1:32:48 PM
Nenatologists - New Pediatric Critical Care Codes
No summary was provided for this bullietin. Posted: 5/6/2003 1:31:28 PM
Providers of Private Rehabilitative Therapy Services - Adjustments for Part A Crossover Claims Paid under 50% Methodology
No summary was provided for this bullietin. Posted: 5/6/2003 1:28:32 PM
Department of Durable Medical Equipment Medicaid Fee Schedule
No summary was provided for this bullietin. Posted: 5/6/2003 1:25:31 PM
April - 2003
Durable Medical Equipment (DME) Providers
Description: The Department of Durable Medical Equipment Medicaid Provider Fee Schedule is effective April 1, 2003 and supersedes all previous and exisiting manuals and bulletins. Posted: 4/30/2003 5:09:19 PM
Preadmission Screening and Resident Review (PASARR) Workshop
No summary was provided for this bullietin. Posted: 4/1/2003 3:10:11 PM
Payment Methodology for Medicare Crossover Claims: Private Rehabilitative Therapy Services
No summary was provided for this bullietin. Posted: 4/1/2003 3:08:31 PM
Payment Methodology for Medicare Crossover Claims: Hospital Providers
No summary was provided for this bullietin. Posted: 4/1/2003 3:07:14 PM
Payment Methodology for Medicare Crossover Claims: Federally Qualified Health Centers and Rural Health Centers
No summary was provided for this bullietin. Posted: 4/1/2003 3:05:03 PM
Payment Methodology for Crossover Claims: End Stage Renal Disease Providers
No summary was provided for this bullietin. Posted: 4/1/2003 3:03:13 PM
Clarification of Office Services Provided after Hours
No summary was provided for this bullietin. Posted: 4/1/2003 3:01:58 PM
Medicaid Updates
Description: I. Changes to Prior Authorization Services
II. Request for Prior Approval Form
III. Changes to Reduction Mammaplasy and Gynecomastia Policies
IV. Points of Emphasis for Prior Authorization Services Posted: 4/1/2003 2:56:34 PM
Revised Medicaid Standard - Nursing Services for Children under 21
No summary was provided for this bullietin. Posted: 4/1/2003 2:55:05 PM
Reimbursement Changes: Medicaid Providers
No summary was provided for this bullietin. Posted: 4/1/2003 2:52:30 PM
March - 2003
2003 Integrated Personal Care Service Manual
No summary was provided for this bullietin. Posted: 3/27/2003 5:01:16 PM
Increased Reimbursement for Laboring Epidurals
No summary was provided for this bullietin. Posted: 3/27/2003 5:00:10 PM
Reductions in Medicaid Rates and Programs
No summary was provided for this bullietin. Posted: 3/27/2003 4:59:09 PM
SyvekPatch
No summary was provided for this bullietin. Posted: 3/27/2003 4:58:09 PM
Office Services Provided after hours and on an emergency basis
No summary was provided for this bullietin. Posted: 3/27/2003 4:56:36 PM
SilverxCard Prescription Drug Program
No summary was provided for this bullietin. Posted: 3/27/2003 4:55:28 PM
Payment Methodology for Medicare Crossover Claims: Providers of Rural Health Clinic Services
No summary was provided for this bullietin. Posted: 3/27/2003 4:53:40 PM
Payment Methodology for Medicare Crossover Claims: Providers of Federally Qualified Health Center Services
No summary was provided for this bullietin. Posted: 3/27/2003 4:52:11 PM
Payment Methodology for Medicare Crossover Claims: Hospital Providers
No summary was provided for this bullietin. Posted: 3/27/2003 4:50:50 PM
Payment Methodology for Medicare Crossover Claims: Providers of Private Rehabilitative Therapy Services
No summary was provided for this bullietin. Posted: 3/27/2003 4:46:45 PM
Payment Methodology for Medicare Crossover Claims: Providers of End Stage Renal Disease Services
No summary was provided for this bullietin. Posted: 3/27/2003 4:42:09 PM
Pharmacy Services Providers
Description: I. Prescriber Identification Numbers - Number of Bytes
II. New Pharmacy Claims Processing System Issues Posted: 3/27/2003 4:40:18 PM
Change in Procedure Codes
No summary was provided for this bullietin. Posted: 3/27/2003 4:39:25 PM
Pediatric-Subspecialty Reimbursement Changes
No summary was provided for this bullietin. Posted: 3/27/2003 4:38:15 PM
New Pharmacy Claims Processing Platform
No summary was provided for this bullietin. Posted: 3/27/2003 4:37:18 PM
New Medicaid Eligibility Determination System
No summary was provided for this bullietin. Posted: 3/27/2003 4:36:14 PM
New Diagnostic Related Groups (DRGs) for Prior Authorized Alcohol and Other Drug Abuse Services
No summary was provided for this bullietin. Posted: 3/27/2003 4:33:20 PM
Administration of Palivizumab (Synagis) Intramuscular Injections to Medicaid Patients during the Respiratory Syncytial Virus (RSV) season
No summary was provided for this bullietin. Posted: 3/27/2003 3:30:41 PM
Rate Increase for Certain Ambulance Transport Services
No summary was provided for this bullietin. Posted: 3/27/2003 3:29:42 PM
Cost Avoidance Claims Processing
No summary was provided for this bullietin. Posted: 3/27/2003 3:28:37 PM
2002 Revised Medicaid Frame Kit List
No summary was provided for this bullietin. Posted: 3/27/2003 3:27:28 PM
Medicaid Provider Manual Revisions
No summary was provided for this bullietin. Posted: 3/27/2003 3:26:32 PM
Services Included in Reimbursement for Deliveries
No summary was provided for this bullietin. Posted: 3/27/2003 3:25:30 PM
Pharmacy Services Providers
Description: Change in Payment Methodology, Obtaining Accurate Prescriber Identification Numbers, Appropriate Utilization of Monthly Prescription Limit Override Process Posted: 3/27/2003 3:23:27 PM
Nurse Aide Workshops
No summary was provided for this bullietin. Posted: 3/27/2003 3:22:17 PM
Change in Procedure Codes: Medicaid Providers Indicated
No summary was provided for this bullietin. Posted: 3/27/2003 3:20:35 PM
Children's Behavioral Health Services Provider Manual
No summary was provided for this bullietin. Posted: 3/27/2003 3:19:08 PM
Elimination of or Reduction in Services and Coverage Group
No summary was provided for this bullietin. Posted: 3/27/2003 3:17:47 PM
Reduction or Elimination of Services: Durable Medical Equipment Providers
No summary was provided for this bullietin. Posted: 3/27/2003 3:14:49 PM
Reduction or Elimination of Services: Dental Providers
No summary was provided for this bullietin. Posted: 3/27/2003 3:13:16 PM
Billing Workshops: Primary Care Physicians
No summary was provided for this bullietin. Posted: 3/27/2003 3:12:00 PM
Elimination of Part A SNF Co-insurance Payments
No summary was provided for this bullietin. Posted: 3/27/2003 3:10:02 PM
Prescription for Eyeglasses
No summary was provided for this bullietin. Posted: 3/27/2003 3:08:57 PM
Dental Providers
Description: Reactivation of Procedure Codes, Eligibility Determination IVRS/Waivers, Policy Clarification Posted: 3/27/2003 3:07:23 PM
Elimination of or Reduction in Services and Coverage Groups
No summary was provided for this bullietin. Posted: 3/27/2003 3:05:58 PM
Elimination of or Reduction in Services and Coverage Groups
No summary was provided for this bullietin. Posted: 3/27/2003 3:03:53 PM
Comprehensive Eye Examinations
No summary was provided for this bullietin. Posted: 3/27/2003 3:02:27 PM
Workshops: Providers of Obstetrical and Gynecological Services
No summary was provided for this bullietin. Posted: 3/27/2003 3:00:21 PM
Submission of Valid Prescriber Identification Numbers on Pharmacy Claims
No summary was provided for this bullietin. Posted: 3/27/2003 2:58:39 PM
Family Planning Waiver Services Provider
Description: 1. Extension of the Family Planning Waiver
2. Promotion of Primary Care Component Posted: 3/27/2003 2:56:22 PM
Medically Fragile Children's Program
No summary was provided for this bullietin. Posted: 3/27/2003 2:55:27 PM
Rate Increase for Deliveries Updates on OB/GYN Billing
No summary was provided for this bullietin. Posted: 3/27/2003 2:53:42 PM
Activation of Procedure Code: Optometry Providers
No summary was provided for this bullietin. Posted: 3/27/2003 2:52:19 PM
Revision to the P/RSPCE Section of the Medicaid Enhanced Services Manual
No summary was provided for this bullietin. Posted: 3/26/2003 7:56:58 PM
Neonatology Coding
No summary was provided for this bullietin. Posted: 3/26/2003 7:55:57 PM
Clarification Regarding Psychological Services for Children
No summary was provided for this bullietin. Posted: 3/26/2003 7:54:06 PM
Non-covered Procedure Codes
No summary was provided for this bullietin. Posted: 3/26/2003 7:53:18 PM
Overnight Staff to Client Ratios for Wilderness Camps
No summary was provided for this bullietin. Posted: 3/26/2003 7:52:05 PM
Residential Treatment Facilities Providing Inpatient Psychiatric Services to Individuals Under Age 21
Description: I. New Rules and Reporting Requirements for Use of Seclusion and Restraint
II. Facility Reporting Requirements
III. Attestation of Facility Compliance Posted: 3/26/2003 7:49:33 PM
Primary Care Reimbursement Changes
No summary was provided for this bullietin. Posted: 3/26/2003 7:48:19 PM
New Ambulance Provider Codes
No summary was provided for this bullietin. Posted: 3/26/2003 7:47:10 PM
Changes in Covered Services: Dental Providers
No summary was provided for this bullietin. Posted: 3/26/2003 7:46:09 PM
Durable Medical Equipment and Supply Reimbursement Reductions
No summary was provided for this bullietin. Posted: 3/26/2003 7:44:38 PM
Consultation Procedure Code Updates
No summary was provided for this bullietin. Posted: 3/26/2003 7:42:40 PM
New Payment Methodology for Medicare Crossover Claims: Hospital Providers
No summary was provided for this bullietin. Posted: 3/26/2003 7:39:35 PM
New Payment Methodology for Medicare Part A Crossover Claims: Audiologist, Certified Outpatient Rehabilitation Facility, Rural Health Clinic, and End Stage Renal Disease Providers
No summary was provided for this bullietin. Posted: 3/26/2003 7:35:28 PM
Rate Decrease: Individual Transporation Providers (ITP)
No summary was provided for this bullietin. Posted: 3/26/2003 7:34:22 PM
Pharmacy Providers
Description: I. Change in co-payment
II. Change in prescription payment methodology
III. Expansion of South Carolina Maximum Allowable Cost (SCMAC) Program Posted: 3/26/2003 7:32:22 PM
Counseling and Mental Health Programs
No summary was provided for this bullietin. Posted: 3/26/2003 7:27:34 PM
Oxycontin Coverage Policy
No summary was provided for this bullietin. Posted: 3/26/2003 7:26:29 PM
Focused Retrospective Reviews
No summary was provided for this bullietin. Posted: 3/26/2003 7:25:39 PM
Self-Audit Process
No summary was provided for this bullietin. Posted: 3/26/2003 7:24:47 PM
Administration of Palivizumab Intramuscular Injections to Medicaid Patients during the Respiratory Synctial Virus (RSV) season
No summary was provided for this bullietin. Posted: 3/26/2003 7:22:41 PM
New Payment Methodology for Medicare Part B Crossover Claims: Dental Providers
No summary was provided for this bullietin. Posted: 3/26/2003 7:20:56 PM
Consulation Procedure Code Updates: Private Providers of Rehabilitative Therapy Services
No summary was provided for this bullietin. Posted: 3/26/2003 7:19:27 PM
Consultation Procedure Code Updates
No summary was provided for this bullietin. Posted: 3/26/2003 7:18:06 PM
Medicaid Adolescent Pregnancy Prevention Providers
Description: Frequency of Services for Family Planning Counseling (X0040) and Family Planning Instruction/Education (X0041), Reactivation of Procedure Codes Posted: 3/26/2003 7:15:43 PM
Medical Necessity Revision
No summary was provided for this bullietin. Posted: 3/26/2003 7:14:12 PM
New Payment Methodology for Medicare Part B Crossover Claims: Dental Providers
No summary was provided for this bullietin. Posted: 3/26/2003 7:12:54 PM
New Payment Methodology for Medicare Part B Crossover Claims: MCCA Providers
No summary was provided for this bullietin. Posted: 3/26/2003 7:11:44 PM
New Payment Methodology for Medicare Part B Crossover Claims: Physicians, Durable Medical Equipment, Chiropractor, Lab, X-Ray, Podiatrist, Ambulance Transportation, Vision, Medical Clinics, Behavioral Health, and Medical Professional Providers
No summary was provided for this bullietin. Posted: 3/26/2003 7:08:26 PM
Medicaid Providers
Description: I. New Plastic South Carolina Partners for Health Medicaid Insurance Cards
II. Medicaid Interactive Voice Response System (IVRS)
III. Provider Workshops for the New Medicaid Plastic Cards Posted: 3/26/2003 7:06:14 PM
Self-administrable drugs (SADs)
No summary was provided for this bullietin. Posted: 3/26/2003 7:04:55 PM
Billing workshops
No summary was provided for this bullietin. Posted: 3/26/2003 7:03:53 PM
Transurethral Destruction of Prostate Tissue (Procedure Code 53850)
No summary was provided for this bullietin. Posted: 3/26/2003 7:02:33 PM
Best Practice Guidelines for Perinatal Care
No summary was provided for this bullietin. Posted: 3/26/2003 7:01:32 PM
Medicaid Service Providers
Description: I. Medicaid Standard Revisions
II. Intensive Family Services Private Provider Fee Schedule Posted: 3/26/2003 6:59:50 PM
Case Management/Ancillary Services
No summary was provided for this bullietin. Posted: 3/26/2003 6:55:36 PM
Qualifications for Lead Clinical Staff
No summary was provided for this bullietin. Posted: 3/26/2003 6:54:35 PM
Providers Indicated
Description: I. One month supply of medication per prescription
II. Monthly prescription limit override for adult recipients
III. Medicaid coverage of generic products
IV. Prior authorization - certain anti-ulcer products
V. Prior authorization - certain anti-arthritis products
VI. Correct identification of prescriber on pharmacy claims Posted: 3/26/2003 6:51:21 PM
Reimbursement for Depo-Provera and Norplant
No summary was provided for this bullietin. Posted: 3/26/2003 6:50:18 PM
Revised Chapter 200: Home Health Services Medicaid Provider Manual
No summary was provided for this bullietin. Posted: 3/26/2003 6:46:18 PM
Prior authorization of oxycontin
No summary was provided for this bullietin. Posted: 3/26/2003 6:45:22 PM
Updated Pre-approval of Hysterectomy - Nurse Screening Criteria
No summary was provided for this bullietin. Posted: 3/26/2003 6:44:05 PM
Revision to the Medicaid Psychological Services Manual
No summary was provided for this bullietin. Posted: 3/26/2003 6:43:05 PM
Botox (J0585) and Myobloc (J3490) Coverage Policy
No summary was provided for this bullietin. Posted: 3/26/2003 6:41:40 PM
Medicaid Providers: O B Policy and Billing Changes
No summary was provided for this bullietin. Posted: 3/26/2003 6:40:20 PM
Medicaid Providers
Description: I. Primary Care Reimbursement Changes
II. Physicians Enhanced Program (PEP) Rate Changes Posted: 3/26/2003 6:37:41 PM
Medicaid Providers: OB Policy and Billing Changes
No summary was provided for this bullietin. Posted: 3/26/2003 6:36:24 PM
Physician and Hospital Medical Manual
No summary was provided for this bullietin. Posted: 3/26/2003 6:34:38 PM
Pediatric-Subspeciality Reimbursement Changes
No summary was provided for this bullietin. Posted: 3/26/2003 6:33:09 PM
Reduction of Mammaplasty (CPT 19318) Reimbursement Rate Change to Physicians and Body Mass Index (BMI) Explanation
No summary was provided for this bullietin. Posted: 3/26/2003 6:31:04 PM
Behaviorial Health Out-of-Home Placement Providers: Medicaid Enrollment Policy Changes
No summary was provided for this bullietin. Posted: 3/26/2003 6:11:26 PM
High Risk Channeling Project (HRCP)
No summary was provided for this bullietin. Posted: 3/26/2003 6:10:00 PM
Changes in Wraparound Services Standard
No summary was provided for this bullietin. Posted: 3/26/2003 6:07:34 PM
Rural Health Clinics (RHCs): Laboratory Services
No summary was provided for this bullietin. Posted: 3/26/2003 6:06:06 PM
Preadmission Screening and Resident Review (PASARR) and Mental Health Services to be provided in the Nursing Facility
No summary was provided for this bullietin. Posted: 3/26/2003 6:04:28 PM
Revisions to School-Based, Family Preservation, and Truancy Diversion Programs
No summary was provided for this bullietin. Posted: 3/26/2003 6:02:39 PM
Revised Medicaid Home Health Medical Criteria
No summary was provided for this bullietin. Posted: 3/26/2003 6:01:21 PM
Alcohol/Other Drug (AOD) Abuse Services Providers: Case Manager Assistant Staff Qualifications
No summary was provided for this bullietin. Posted: 3/26/2003 5:59:37 PM
Alcohol and Other Drug (AOD) Abuse Service Providers
Description: I. Assessment Service Reimbursement
II. The Use of V-Code Diagnoses for AOD Rehabilitative Services Posted: 3/26/2003 5:57:36 PM
Chiropractic Providers: Billing policy for X-Rays
No summary was provided for this bullietin. Posted: 3/26/2003 5:56:34 PM
Physicians, Hospitals, Podiatrists, and Lab/X-Ray: Billing Workshops
No summary was provided for this bullietin. Posted: 3/26/2003 5:54:51 PM
Medicaid Hospital Program Updates
Description: I. Administrative Days and Swing Beds
II. 2001 Medicare Deductible and Coinsurance Rates Posted: 3/26/2003 5:39:32 PM
SC Universal Newborn Hearing, Screening, and Prevention Program
No summary was provided for this bullietin. Posted: 3/26/2003 5:38:14 PM
Home Health Reimbursement Methodology as of October 1, 2000
No summary was provided for this bullietin. Posted: 3/26/2003 5:36:50 PM
Clarification on Billing Revenue Code 451 (ER/EMTALA)
No summary was provided for this bullietin. Posted: 3/26/2003 5:35:09 PM
Medicaid updates
Description: I. Pre-approval of Hysterectomy - Nurse Screening CriteriaII. Revised Surgical Justification for Hysterectomy Form and Submission Time Change
Posted: 3/26/2003 5:32:22 PM
Utilization of Services Outside the Medicaid Service Standard
Description: This bulletin is to clarify Medicaid policy service standards for Out-of-Home Placement providers. Posted: 3/26/2003 5:18:52 PM
Community Mental Health Services Provides: Change in Procedure Codes
Description: Effective with dates of service on and after January 1, 2001, the Department of Health and Human Services will replace the following internal procedure codes with a new internal procedure codes. Posted: 3/26/2003 5:16:25 PM
Providers of Temporary De-Escalation Care for Emotionally Disturbed Children - Change in Procedure Codes
Description: Effective with dates of service on and after January 1, 2001, the Department of Health and Human Services will replace the following internal procedure code with new internal procedure code. Posted: 3/26/2003 5:12:56 PM
Reduction Mammaplasty (CPT 19318) Reimbursement Rate Change to Physicians
Description: Effective January 1, 2001, the South Carolina Department of Health and Human Services (SCDHHS) will change the reimbursement rate for surgical procedure code CPT 19318, reduction mammaplasty. Posted: 3/26/2003 5:09:44 PM
Children's Behavioral Health Service Providers: Program Expansion
Description: The purpose of this bulletin is to address the pre/post certification procedures an exisiting provider must complete in the even of program expansion. Posted: 3/26/2003 5:07:16 PM
The Impact of HIPAA on Medicaid
Description: On August 21, 1996, President Clinton signed into law the Health Insurance Portability and Accountability Act (HIPAA), Public Law 104-91. HIPAA will impact the entire health care community. Posted: 3/26/2003 5:04:02 PM
Preadmission to Screening and Resident Review (PASARR) Workshop
Description: The purpose of this bulletin is to announce the upcoming regional workshops on the PASARR policies, procedures, and documentation. Posted: 3/26/2003 4:23:04 PM
Reimbursement Rate for Procedure Code (A4253) – Blood Glucose Test or Reagent Strips for Home Blood Glucose Monitor, per 50 Strips
Description: Effective with the date of service January 1, 2003, the Medicaid reimbursement rate for procedure code A4253 the Blood Glucose Test or Reagent Strips for Home Blood Glucose Monitor, per 50 strips has been changed from $36.53 to $37.61.
Questions regarding this bulletin may be directed to your DME Program Coordinator at (803) 898-2882 Posted: 3/18/2003 2:54:47 PM
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