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Please be certain to check the date of each release.
2010
Dec - 2010
Billing Change For End Stage Renal Disease (ESRD) Reimbursement
Description: Effective With Dates Of Service On Or After January 1, 2011, The South Carolina Department Of Health And Human Services (Scdhhs) Will Change The Billing Requirements For Claims Submitted To Medicaid As Secondary To Medicare For ESRD Patients.
Posted: 12/29/2010
Provider Service Center
Description:
On January 4, 2011, the South Carolina Department of Health and Human Services' (SCDHHS) new Provider Service Center (PSC) will offer the following groups an expanded opportunity for assistance with Medicaid questions.
Posted: 12/22/2010 3:45:06 PM
Administrators Of Medicaid Certified Nursing Facilities, Intermediate Care Facilities For The Mentally Retarded, Hospice Agencies, Hospitals And Physicians
Description: South Carolina Medicaid Hospice Service
In a Medicaid Bulletin dated December 14, 2010, the South Carolina Department of Health and Human Services (SCDHHS) communicated upcoming reductions to several optional state Medicaid services. The purpose of this bulletin is to clarify policy changes to the Medicaid hospice service. Changes will impact persons who do not have dual (Medicare and Medicaid) coverage. Effective with dates of service February 1, 2011, Medicaid will discontinue hospice care services for adults. An adult is defined as a person who is age 21 and older. Children will remain eligible to receive the service.
Posted: 12/22/2010 3:41:34 PM
Medicaid Beneficiary
Description: Beneficiary Newsletter
The South Carolina Department of Health and Human Services must make changes to the Medicaid program because it no longer has enough funds to continue to offer the same services. We regret if any of these changes cause you difficulties. Many of the following changes may not affect you. Please read the entire newsletter carefully and call the Medicaid Resource Center at 1-888-549-0820 if you have any questions.
Posted: 12/22/2010 3:11:08 PM
Physicians, Psychologists, And Licensed Independent Practitioners (LIPs) Of Behavioral Health
Description: Changes To The Prior Authorization Process For Lips Rehabilitative Behavioral Health Services
Effective January 1, 2011, Alliant Health Solutions, South Carolina Department of Health and Human Services (SCDHHS) Quality Improvement Organization (QIO), will assume the Medicaid Utilization Review of all professional services rendered by enrolled Licensed Independent Practitioners (LIPs).
Posted: 12/22/2010 2:50:56 PM
Medicaid Reductions
Description:
The South Carolina Department of Health and Human Services (SCDHHS) projects a budget shortfall of $228 million during the current fiscal year. This is a result of a combination of significant enrollment increases and budget reductions. In order to safeguard the financial viability of the Medicaid program and meet statutory requirements for the operation of Medicaid, SCDHHS must take prompt action to contain Medicaid costs. Current state and federal restrictions largely limit the agency's ability to make reductions apart from reducing optional state Medicaid services.
Posted: 12/14/2010 12:38:37 PM
Reporting Patient Liability On Claims
Description:
Effective with claims and provider error correction forms (ECFs) received on or after January 10, 2011, the South Carolina Department of Health and Human Services (SCDHHS) will require providers to include the "patient responsibility" amount on all claims where a beneficiary has third party coverage, including Medicare. The third party payment plus the "patient responsibility" can not exceed the amount the provider has agreed to accept as payment in full from the third party payer, including Medicare.
Posted: 12/13/2010 12:53:14 PM
Requests For Duplicate Remittance Packages
Description:
Effective immediately, the South Carolina Department of Health and Human Services (SCDHHS) will begin charging for requests of duplicate remittance advice(s) including Edit Correction Forms (ECF).
Posted: 12/10/2010 7:10:51 AM
Information On NCCI Edits
Description:
The South Carolina Department of Health and Human Services (SCDHHS) is issuing this bulletin regarding implementation of NCCI edits for information purposes. More specific bulletins will follow as SCDHHS formalizes its implementation plan to incorporate NCCI edits into the Medicaid claims processing system.
Posted: 12/9/2010 10:08:29 AM
South Carolina Medicaid Preferred Drug List
Description:
The Preferred Drug List (PDL) has been revised. Attached to this bulletin is a comprehensive listing of products within all therapeutic classes that comprise the PDL.
Posted: 12/9/2010 8:22:28 AM
South Carolina Nurse Aide Clinical (Skills) Examination
Description:
Effective January 1, 2011, nurse aide candidates must pass all five of the skills on the National Nurse Aide Assessment Program Examination. In addition, the skills testing time will increase from 25 minutes to 30 minutes. Candidates who do not pass will be required to retake the skills portion of the examination.
Posted: 12/3/2010 3:16:23 PM
Nov - 2010
Minimum Data Set 3.0 Training On Resident Interviews And Section Q
Description:
The South Carolina Department of Health and Human Services is offering regional trainings on the new requirements for resident interviews and Section Q of the Minimum Data Set (MDS) 3.0. for nursing facility and swing bed hospital providers. Providers are encouraged to send the facility’s social service staff and any other staff involved in the completion of resident interviews and Section Q.
Posted: 11/30/2010 5:04:00 PM
Medicaid Reimbursement Training
Description:
The South Carolina Department of Health and Human Services (SCDHHS) is
offering Medicaid reimbursement training for providers of nursing facility services
and Intermediate Care Facilities for the Mentally Retarded. Two dates are
provided from which to choose: Wednesday, December 1 from 9:30 A.M. to
3:00 P.M. or Thursday, December 2 from 9:30 A.M. to 3:00 P.M. Both
sessions will be held in Columbia at the Blue Cross Blue Shield training center on
17 Technology Circle (directions will be provided upon confirmation of your
registration).
Posted: 11/15/2010 4:44:26 PM
Provider Service Center
Description: Beginning January 4, 2011, The South Carolina Department Of Health And Human Services (SCDHHS) Will Open A Centralized Provider Service Center (PSC) To Offer Providers An Expanded Opportunity To Have Medicaid Questions Answered.
Posted: 11/9/2010 2:33:38 PM
Free Provider Workshops November 2010
Description: SCDHHS Offers Free Provider Workshops
Attached is a schedule of the free workshops offered by the SCDHHS to include Comprehensive Web Tool and Overview of Third Party Liability.
Posted: 11/5/2010 3:52:33 PM
Medical Homes Network Changes
Description:
The South Carolina Department of Health and Human Services (SCDHHS) is
currently reviewing applications for two new Medical Homes Network (MHN) entities.
If approved, beneficiaries will have two additional choices from which to consider for
their Healthy Connections services.
Posted: 11/3/2010 4:43:02 PM
Oct - 2010
Medicaid Payments And Third Party Coverage
Description:
The Medicaid program makes payments to providers on behalf of beneficiaries for medical services rendered, but only to the extent that the beneficiary has a legal obligation to pay. If the beneficiary does not have a legal obligation to pay, then Medicaid will not make a payment.
Posted: 10/27/2010 1:43:24 PM
Nursing Facility Staff
Description: MDS 3.0 Is Here!
Posted: 10/20/2010 4:55:21 PM
South Carolina Medicaid Preferred Drug List
Description:
The Preferred Drug List (PDL) has been revised. Attached to this bulletin is a comprehensive listing of products within all therapeutic classes that comprise the PDL.
Posted: 10/18/2010 4:40:01 PM
Providers Indicated
Description: Effective November 1, 2010, the Medical Homes Network (MHNs) will require its Primary Care Physicians (PCPs) to make all referrals to Private Rehabilitative Therapy Providers. Rehabilitative Therapy services include physical, occupational and speech language therapy.
Posted: 10/18/2010 9:03:38 AM
All Medicaid Providers
Description: Providers and other interested stakeholders are encouraged to submit Medicaid costsaving ideas to the South Carolina Department of Health and Human Services (SCDHHS) as part of the agency’s Medicaid Sustainability Project.
Posted: 10/12/2010 8:36:35 AM
SCDHHS Offers Free Workshops Oct. - Nov. 2010
Description: The free workshops offered by the SCDHHS will include Medicaid Basics, Comprehensive Web Tools, an Overview of Third Party Liability and an Overview of Claim-level Adjustments.
Posted: 10/1/2010 3:17:54 PM
Sept - 2010
SC Health Information Exchange (SCHIEx)
Description: Medicaid and Medicare providers who wish to participate in the federal Electronic Health
Record incentive program are invited to review and comment on several documents
related to the South Carolina Health Information Exchange, called SCHIEx.
Posted: 9/24/2010 8:43:39 AM
Health Plan Choices For TEFRA Children
Description:
On September 19th, it was brought to our attention that families with children who
are eligible for Medicaid through TEFRA have been receiving letters indicating that
they needed to choose a health plan for their child and that, if they failed to choose
a plan, their child would be assigned to a managed care plan.
Posted: 9/22/2010 2:55:05 PM
Information Regarding Reducing Medicaid Waste, Fraud And Abuse
Description: The South Carolina Department of Health and Human Services (SCDHHS) strives to ensure the integrity of the Medicaid Program and seeks to reduce waste, fraud and abuse in the use of Medicaid funds
through the activities carried out by the Division of Program Integrity and the Division of Audits.
Posted: 9/20/2010 3:38:35 PM
Clinical Lab Reimbursement Methodology
Description: In order to comply with Title XIX of the Social Security Act, Section 1903(i)(7), Medicaid
reimbursement for clinical lab services must not exceed the rates established by Medicare.
Posted: 9/20/2010 8:55:54 AM
Policy Change For Synagis® Injectable
Description:
Effective for dates of service on or after October 15, 2010, and no later than date of service on
March 31, 2011, the South Carolina Department of Health and Human Services (SCDHHS) will
adopt the American Academy of Pediatric (AAP) 2009 guidelines for the administration of
Synagis®.
Posted: 9/20/2010 8:53:51 AM
Changes To The Third Party Liability Health Insurance Recovery Cycle
Description: At the beginning of each quarter, the Medicaid Management Information System (MMIS)
generates letters that the Medicaid Information Verification Services (MIVS) mails to
institutional providers.
Posted: 9/16/2010 8:46:34 AM
Physician Administered Injectable Drugs Fee Schedule Update
Description:
Effective with dates of service on or after October 1, 2010, the South Carolina Department of Health
and Human Services (SCDHHS) will change the reimbursement methodology for injectable drugs
administered in an office, clinic, or outpatient hospital setting.
Posted: 9/15/2010 2:54:35 PM
South Carolina Healthy Connections Choices Training Opportunities
Description: South Carolina Healthy Connections Choices (SCHCC), in collaboration with the South
Carolina Department of Health and Human Services (SCDHHS), is offering workshops
in regional locations across the state to provide updated information.
Posted: 9/15/2010 2:51:43 PM
Changes to the Third Party Liability Medicare Recovery Cycle
Description: Changes To The Third Party Liability Medicare Recovery Cycle
Posted: 9/14/2010 8:40:31 AM
Pharmacy Providers
Description: I. Changes In The Submission Of Coordination Of Benefits (COB) Claims By Pharmacy Providers
II. Prior Authorization for Antibiotics Marketed for the Treatment of Dermatological Indications
Posted: 9/9/2010 3:57:10 PM
Family Planning Waiver Providers
Description: Centers For Medicare And Medicaid (CMS) Approval Of South Carolina’s Request To Enroll Women With Health Insurance In The Family Planning Waiver (FPW)
Family Planning Waiver (FPW) Billing Reminders
Posted: 9/8/2010 5:03:35 PM
SCDHHS Offers Free Provider Workshops
Description: Free Workshops Offered By The SCDHHS To Include Medicaid Basics, Comprehensive Web Tool, Overview Of Third Party Liability And Overview Of Claim-Level Adjustments.
Posted: 9/1/2010 1:42:37 PM
August - 2010
Hospitals And Ambulatory Surgery Centers
Description: Dental Administrative Service Organization (ASO)
Posted: 8/31/2010 5:00:08 PM
All Medicaid Providers
Description: Healthy Connections Choices Expansion Information
Posted: 8/23/2010 8:36:18 AM
All Medicaid Providers
Description: Changes To The Healthy Connections Kids (HCK) Program
Posted: 8/17/2010 4:19:08 PM
Durable Medical Equipment Providers
Description: Incontinence Supplies For Home And Community Based Waiver Participants
Posted: 8/4/2010 8:14:23 AM
July - 2010
Hospitals, Physicians And Ambulatory Surgery Centers
Description: Quality Improvement Organization (QIO) Activities
Posted: 7/30/2010 4:42:31 PM
SCDHHS Offers Free Provider Workshops
Description: SCDHHS Offers Free Provider Workshops Aug -Sept - Oct 2010
Posted: 7/30/2010 12:04:48 PM
The Provider Perspective Newsletter
Description: Inside this issue:
I Healthy Connections Choices Expansion
II Federal EHR Incentive Payment Program Takes Shape
III Minimum Patient Volume Threshold
IV Notice: Prescription Limit Change
Posted: 7/28/2010 3:39:12 PM
Licensed Independent Practitioner (LIP) Rehabilitative Service Providers
Description: Medicaid Policy Manual For Licensed Independent Practitioner (LIP) Rehabilitative Services
Posted: 7/23/2010 1:47:22 PM
All Medicaid Physicians
Description: (CITIA) Center for Information Technology Implementation Assistance In South Carolina
Posted: 7/22/2010 3:43:52 PM
Providers Indicated
Description: Prescription Limit
Posted: 7/21/2010 8:17:18 AM
For Immediate Release
Description: S.C. Medicaid To Expand Healthy Connections Choices Care Coordination Program
Posted: 7/20/2010 12:28:01 PM
All Medicaid Providers
Description: Healthy Connections Choices Expansion
Posted: 7/16/2010 3:39:11 PM
Targeted Case Management Providers
Description: Medicaid Policy Manual for Targeted Case Management
Posted: 7/14/2010 2:12:27 PM
QTIP: Quality Through Technology And Innovation In Pediatrics
Description: Fifteen Primary Care Pediatric Practices Across South Carolina Will Have The Opportunity To Join A Pilot Program To
improve patient care through the use of clinical quality measures and health information technology.
Applications will be available through July 28, 2010.
Posted: 7/9/2010 11:27:02 AM
All Dental Providers
Description: Claims Related Issues for the Dental Administrative Service Organization (ASO)
Posted: 7/8/2010 4:37:25 PM
Providers Indicated
Description:
I. South Carolina Medicaid Preferred Drug List
II. First Health Services Corporation Name Change
Posted: 7/2/2010 3:29:12 PM
All Dental Providers
Description: Implementation Of The Dental Administrative Service Organization (ASO)
Posted: 7/2/2010 8:57:24 AM
SCDHHS Free Provider Workshop
Description: SCDHHS Free Provider Workshop July - Sept 2010
Posted: 7/2/2010 8:54:05 AM
June - 2010
Physicians, Psychologists, And Licensed Independent Practitioners Of Behavioral Health
Description:
I. On-Line Pre-Enrollment Orientation & Medicaid Enrollment
II. Prior Authorization requirements for Licensed Independent Practitioners
Posted: 6/23/2010 3:39:31 PM
Hospitals, Physicians And Managed Care Providers
Description: Contingency Plan For Prior Authorization And Medical Support Documentation
Reviewed By Qualis Health
Posted: 6/11/2010 4:16:19 PM
Managed Care And Hospital Providers
Description: Newborns
Posted: 6/1/2010 3:57:36 PM
May - 2010
Nursing Facilities And Swing Bed Hospitals
Description: Minimum Data Set 3.0 Training
Posted: 5/26/2010 3:10:38 PM
Current Behavioral Health Services Providers And State Agencies
Description: Rehabilitative Behavioral Health Services (Rbhs) Workshop
Posted: 5/14/2010 2:31:09 PM
Providers Indicated
Description: Essure Policy Update
Posted: 5/12/2010 8:44:53 AM
All Dental Providers
Description:
I. Dentaquest Awarded Contract To Serve As The South Carolina- Medicaid Dental Administrative Service Organization (ASO)
II. Changes in the Dental Services, Policies and Guidelines
Posted: 5/5/2010 8:37:59 AM
Medicaid Bulletin
Description: Revised Billing Procedures For The Vaccine Assurance For All Children (Vafac) Program
Posted: 5/3/2010 5:02:28 PM
SCDHHS Offers Free Provider Workshops May - June 2010
Description: Free Provider Workshops May - June 2010
Posted: 5/3/2010 10:01:25 AM
April - 2010
Physicians
Description: Allied Health Professionals Policy
Posted: 4/21/2010 8:35:20 AM
Providers Indicated
Description: Prescription Origin Code
Posted: 4/7/2010 8:41:22 AM
March - 2010
SCDHHS Free Provider Workshops April - June 2010
Description: Free Workshops April - June 2010
Posted: 3/31/2010 2:10:55 PM
Providers Indicated
Description: Discontinuation of Providerlink
Posted: 3/23/2010 8:37:54 AM
All Medicaid Providers
Description:
I. Managed Care Organizational Change
II.Clarification of Changes
Posted: 3/18/2010 10:57:27 AM
All Providers
Description: Provider Newsletter
Posted: 3/3/2010 9:32:01 AM
All Providers
Description: Managed Care Organizations (MCOs) Contract Changes For Vision Services
Posted: 2/26/2010 4:48:25 PM
Private Rehabilitative, Speech, Physical, and Occupational Therapists
Description: Speech-Language Pathology Services Training Opportunities
Posted: 2/26/2010 4:40:43 PM
SCDHHS Free Provider Workshops March - May 2010
Description: March - May 2010
Posted: 2/26/2010 12:18:42 PM
Providers Indicated
Description: Dispense As Written (DAW) Code For Brand Medically Necessary Prescriptions
Posted: 2/2/2010 10:09:54 AM
Durable Medical Equipment (DME) Providers
Description: Clarification And Revision Of Medicaid Certificate Of Medical Necessity (MCMN) Policy And Forms.
Posted:
Hospitals, Physicians And Managed Care Providers
Description: Update To Procedure/Drug Codes Requiring Prior Approval Or Support Documentation
Posted:
SCDHHS Offers Free Provider Workshops
Description: SCDHHS Offers Free Provider Workshops February - April 2010
Posted: 1/29/2010 10:18:17 AM
All Providers
Description: Reminder- Hard Copy Remittance Advices To End Soon!
Posted: 1/28/2010 8:27:59 AM
Physicians, Hospitals, Pharmacy and Managed Care Providers
Description: 17 Alpha Hydroxyprogesterone Caproate
Posted: 1/26/2010 12:01:38 PM
Dental Providers
Description: Children’s Health Insurance Program Reauthorization (CHIPRA) Act
of 2009 and Insure Kids Now (IKN) Information
Posted: 1/20/2010 10:30:44 AM
All Providers
Description: Please Join Us For This Free Informative Webinar.
"Influenza Vaccination With LAIV Dispelling the Myths"
Posted: 1/15/2010 3:27:13 PM
Appropriate Utilization Of Antipsychotic Medications For Children 6 (Six) Years Of Age And Younger
Description: In An Effort To Ensure Against The Improper Use Of Antipsychotics In Children,
South Carolina Medicaid will require clinical evaluation for all prescriptions for antipsychotics prescribed
for children 6 years of age and younger.
Posted: 1/12/2010 4:24:49 PM
Physicians Indicated
Description: Allied Health Professionals Policy
Posted: 1/12/2010 8:35:32 AM
Providers Indicated
Description: South Carolina Medicaid Preferred Drug List
Posted: 1/11/2010 9:24:06 AM
All Medicaid Providers
Description: South Carolina Healthy Connections Choices Training Opportunities
Posted: 1/11/2010 9:23:20 AM
SCDHHS Offers Free Provider Workshops
Description: January - March 2010
Posted: 1/5/2010 9:41:56 AM
December - 2009
Revised Policy For Lesion Removal/Dermal Anomalies
Description: Effective With Dates Of Service On Or After January 1, 2010, The Following Criteria
will replace the current criteria in the Lesion Removal policy located in Section
2 of the Physician, Laboratories and Medical Professionals Manual.
Posted: 12/23/2009 9:25:40 AM
Child Placing State Agencies And Psychiatric Residential Treatment Facilities
Description: Child And Adolescent Level Of Care Utilization System (Calocus) On-Line Training And Policy Requirements/Clarification
Posted: 12/22/2009 11:43:38 AM
Visual Evoked Potential (VEP)
Description: Visual Evoked Potential (VEP) Is Considered Medically Necessary For Any Of The Following Indications:
Posted: 12/21/2009 10:23:09 AM
Providers Indicated
Description: Co-Signature Update
Posted: 12/17/2009 11:02:57 AM
Durable Medical Equipment (DME) Providers
Description: Criteria For Cranial Remolding Orthotic Devices
Posted: 12/16/2009 3:52:10 PM
SCDHHS Offers Free Provider Workshops
Description: December - February 2010
Posted: 12/8/2009 9:10:21 AM
All Dental Providers
Description:
I. Dental Bulletins
II. Dental Provider Manual
III. Changes to Policies and Guidelines
IV. Clarification of Policies and Guidelines
Posted: 12/7/2009 3:56:02 PM
To All Providers
Description: Time Limit For Submitting Claims
Posted: 11/30/2009 12:02:30 PM
Personal Care and Home Health Providers
Description: New Telemonitoring Service
Posted: 11/24/2009 10:37:54 AM
Hospital Providers and Managed Care Providers
Description: 2010 Medicare Deductible, Coinsurance and Medicaid Blood Deductible Rates
Posted: 11/23/2009 1:45:39 PM
Pharmacy Providers
Description: Mandatory Use Of Prescriber’s NPI (National Provider Identifier
Posted: 11/23/2009 1:41:09 PM
All Providers
Description: Electronic Remittance Package
Posted: 11/16/2009 9:17:51 AM
Providers Indicated
Description: Pharmaceutical Care Coordination Program Pilot
Posted: 11/5/2009 8:22:44 AM
Press Release
Description: S.C. Medicaid Targets Prescription Drug Abusers
Posted: 11/04/2009
All Providers
Description: Managed Care Organizations (MCOs) Contract Changes
Posted: 10/30/2009 11:56:40 AM
SCDHHS Offers Free Provider Workshops
Description: November - January 2010
Posted: 10/30/2009 10:03:03 AM
Clarification Of Qualified Medicare Beneficiary Policy
Description: Effective For Dates Of Service On Or After November 1, 2009, Scdhhs Will Only Reimburse PAs Directly For Medicaid services rendered to dually eligible beneficiaries who are also considered Qualified Medicare Beneficiaries (QMB).
Posted: 10/13/2009 1:45:31 PM
"Healthy Connections 2010" Training Opportunities
Description:
The South Carolina Department Of Health And Human Services (SCDHHS) Is offering workshops in regional locations across the state to provide an overview of the changing healthcare environment available for South Carolina Medicaid beneficiaries in 2010.
Posted: 10/12/2009 3:30:08 PM
Providers Indicated
Description: South Carolina Medicaid
Preferred Drug List
Posted: 10/9/2009 11:44:37 AM
Providers Indicated
Description: Policy Change And Rate Increase For Synagis® Injectable
Posted: 10/8/2009 9:45:48 AM
SCDHHS Free Prov Workshops Oct - Nov - Dec 2009
Description: SCDHHS Free Prov Workshops Oct - Nov - Dec 2009
Posted: 10/7/2009 9:02:03 AM
Policy & Procedures For Influenza A (H1N1) #38; Seasonal Influenza
Description: Effective For Dates Of Service On Or After October 1, 2009, The South Carolina Department Of
Posted: 10/6/2009 8:42:35 AM
Revised Fee Schedule Update Bulletin
Description:
- Clarification Of Covered Rabies Procedure Codes
- Clarification of Customized Light-Weight & Manual Wheelchairs
- Correction to Effective Date for Administrative Days Rate
- Physician Fee Schedule Update
- Pediatric Sub-Specialist Fee Schedule Update
- Physician Administered Injectable Drugs Fee Schedule Update
- DME Services Fee Schedule Update
Posted: 9/30/2009
2009 Non-Emergency Medicaid Transportation Service Survey
Description: 2009 Non-Emergency Medicaid Transportation Service Survey
Final Report
Posted: 9/22/2009 10:20:11 AM
Hospitals And Managed Care Providers
Description: Administrative Days Rates
Posted: 9/10/2009 1:26:14 PM
SCDHHS Workshops September - November 2009
Description: SCDHHS Free Workshops September - November 2009
Posted: 8/26/2009 11:56:19 AM
Providers Indicated
Description: Coverage Of Rabies Vaccine And Immune Globulin
Posted: 8/14/2009 4:15:50 PM
Administrators Of Medicaid Certified Nursing Facilities And Intermediate Care Facilities For The Mentally Retarded
Description:
I. New South Carolina Nurse Aide Testing And Registry
Certification Renewal Fee Schedule
II. Nurse Aide Candidate Handbook
III. Nurse Aide Answer Line
Posted: 8/6/2009 2:05:44 PM
All Medicaid Providers
Description:
I. Managed Care Organizational Change
II. Clarification of Changes
Posted: 8/3/2009 3:02:28 PM
DHEC Health Advisory
Description: Pre-Registration For Pandemic Influenza Vaccine And Antivirals:
Posted: 8/3/2009 8:45 AM
SCDHHS Free Workshop Aug. - Sept. - Oct. - 2009
Description: SCDHHS Free Workshop
Posted: 7/27/2009 10:53:04 AM
Hospitals, Physicians and Managed Care Providers
Description: Policy Updates - Reconstructive Surgery Following Mastectomies and
Inpatient Hospital Retrospective Review – Denied Admissions
Posted: 7/15/2009 4:25:33 PM
Therapeutic Foster Care Providers and Child Placing State Agencies
Description: Changes To Treatment Rates for Therapeutic Foster Care
Posted: 7/9/2009 11:49:24 AM
Providers Of Administrative Claiming And Special Needs Transportation In State Agencies
Description: Continuation of Reimbursements Under The Medicaid Program for School-Based Administrative Claiming and Special Needs
Transportation
Posted: 7/8/2009 9:31:12 AM
Medicaid Providers
Description: Epidural Code Update
Posted: 7/2/2009 9:16:10 AM
Private Rehabilitative, Speech, Physical, And Occupational Therapists
Description:
I. Frequency Limitations
II. Inclusion of Private Therapies in Managed Care Organization Benefits
Posted: 7/2/2009 9:14:20 AM
SCDHHS Free Workshop - July – September 2009
Description: SCDHHS Free Workshop
Posted: 7/1/2009 2:26:29 PM
Hospice Providers
Description: Revised Wage Index on Fiscal Year 2009 Medicaid Hospice Rates
Posted: 6/26/2009 3:34:49 PM
Providers Indicated
Description: South Carolina Medicaid Preferred Drug List
Posted: 6/26/2009 3:32:46 PM
SCDHHS Free Workshops June - August 2009
Description: SCDHHS Free Workshops June - August 2009
Posted: 6/9/2009 1:26:15 PM
Medicaid Providers
Description: Screening For Excluded Providers
Posted: 6/9/2009 8:52:56 AM
Durable Medical Equipment Providers (DME)
Description:
I. Criteria For Cranial Remolding Orthotic Devices
II. Policy Amendment and Clarification for Power
Wheelchairs, Wheelchair Warranties and Wheelchair Codes
Posted: 6/8/2009 1:48:14 PM
Medicaid Providers
Description:
I.Modification To Psychiatric And Counseling Services
II. Modification to Chiropractic Services
III. Syvek Patch Update
IV. Labor and Delivery Reimbursement Update
Posted: 6/5/2009 12:01:14 PM
Medicaid Providers And Transportation Brokers
Description: Revised DHHS Form 216
Description: DHHS Form 216
Posted: 6/5/2009 8:58:33 AM
All Medicaid Providers
Description: Program Integrity Overpayment Identification Contractor
Posted: 6/4/2009 2:22:15 PM
Provider Newsletter
Description: Provider Newsletter Vol2
Posted: 5/29/2009 12:04:13 PM
Child - Placing State Agencies And Psychiatric Residential Treatment Facility Providers
Description: Policy Clarification - CALOCUS
Posted: 5/22/2009 8:50:15 AM
SCDHHS Free Provider Workshops
Description: SCDHHS Free Provider Workshops May- June- July 2009
Posted: 5/1/2009 2:56:59 PM
Medicaid Providers
Description: Revised South Carolina Medicaid Diabetic Meters And Strips Program Effective May 1, 2009
Posted: 4/28/2009 3:41:46 PM
Federally Qualified Health Centers (FQHC) Rural Health Clinics (RHC)
Description: Reimbursement For Application of Topical Fluoride Varnish For
Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC)
Posted: 4/15/2009 4:39:03 PM
Medicaid and You
Description: Beneficiary Newsletter
Posted: 4/10/2009 1:43:30 PM
Medicaid Providers
Description: Revision Of Procedures For Forensic Medical Evaluations
Posted: 4/3/2009 5:10:13 PM
Providers Of Psychiatric Residential Treatment Facilities For Children Under 21 And Child Placing State Agencies
Description: Child and Adolescent Level Of Care Utilization System
(CALOCUS) Training and Certification
Posted: 4/2/2009 9:32:59 AM
Physicians
Description: Clarification To Bulletin on Reimbursement Rate Revision for Fluoride Application
Posted: 4/1/2009 2:47:48 PM
Community Long Term Care, Home Health, And Hospice Providers
Description: Interaction Between Medicaid Home and Community-Based Services
(HCBS) Waiver Programs and the Hospice Benefit
Posted: 3/31/2009 2:41:07 PM
Physicians, Hospital Providers, And Managed Care Providers
Description: Rescinded - Prior Authorization - Inpatient Psychiatric Disorders
Posted: 3/27/2009 4:36:36 PM
All Medicaid Home Health Providers
Description: Return To Covered Home Health Services Prior To 01/01/09.
Posted: 3/27/2009 10:03:53 AM
Dentists and Physicians
Description: Reimbursement Rate Revision for Fluoride Application
Posted: 3/25/2009 2:33:20 PM
Providers Of Administrative Claiming And Special Needs Transportation In State Agencies
Description: Continuation of Reimbursements Under The Medicaid Program For
School-Based Administration and for some Special Needs Transportation
Posted: 3/20/2009 1:46:49 PM
Child - Placing State Agencies And Psychiatric Residential Treatment Facility Providers
Description: Pre - Admission Criteria For Psychiatric Residential Treatment Facilities
Posted: 3/20/2009 8:40:59 AM
Early Intensive Behavioral Intervention (EIBI) Providers
Description: Pervasive Developmental Disorder (PDD) Waiver Participants
and Third Party Liability (TPL) billing
Posted: 3/12/2009 11:57:14 AM
Physicians, Hospitals, And Managed Care Providers
Description: Prior Authorization - Inpatient Psychiatric Disorders
Posted: 3/11/2009 4:55:40 PM
Medicaid Adolescent Pregnancy Prevention Services (Mapps) Providers
Description: Mapps Provider Training
Posted: 3/10/2009 4:11:06 PM
Medicaid Providers Indicated
Description: Modification To Psychiatric And Counseling Services
Posted: 3/4/2009 4:45:49 PM
All Medicaid Providers
Description: Medicaid Eligibility And Service Updates
Posted: 3/4/2009 2:14:11 PM
All Medicaid Providers
Description: Status Of Medicaid Service Reductions
Posted: 2/27/2009 4:53:02 PM
All Medicaid Providers
Description: Medicaid Managed Care Disenrollment/Transfer Procedural Change
Posted: 2/20/2009 11:23:22 AM
All Medicaid Providers
Description:
I. Managed Care Organizational Change
II. Clarification of Changes
Posted: 2/20/2009 11:22:09 AM
Physicians And Hospital Providers
Description: New Procedures for Organ Transplants
Posted: 2/18/2009 4:45:32 PM
Medicaid Providers
Description: Transfer of Reimbursement for Forensic Medical Evaluations
Posted: 2/13/2009 11:19:02 AM
Medicaid Providers
Description: South Carolina Medicaid Diabetic Meters And Strips
Posted: 2/11/2009 3:12:07 PM
Physicians And Hospital Providers
Description: Qualis Health Changes Effective 2/1/2009
Posted: 2/6/2009 10:08:54 AM
Medicaid Bulletin
Description: Delays To SCDHHS Service Changes
Posted: 1/29/2009 9:32:06 AM
Medicaid Beneficiary
Description: Medicaid Beneficiary Newsletter
Posted: 1/16/2009 10:11:39 AM
Medicaid Adolescent Pregnancy Services (MAPPS) Providers
Description: Changes In Medicaid Policy Effective February 15, 2009
Posted: 1/15/2009 4:27:04 PM
Physicians And Hospital Providers
Description: Policy Changes For Qualis - Technical Denials And
Prior Authorization Update
Posted: 1/15/2009 4:25:52 PM
Providers Indicated
Description:
I. South Carolina Medicaid Preferred Drug List
II. Hepatitis C Care Coordination Program
III. Web Based Prior Authorization (WebPA)
Posted: 1/7/2009 3:38:40 PM
Ambulance Services Providers
Description: Medicaid Policy Manual For Ambulance Services Providers
Posted: 1/7/2009 3:37:14 PM
Medicaid Providers
Description: Please Review The Following Changes Effective January 1, 2009
Posted: 1/1/2009
Medicaid Vision Providers
Description: New Contract Award For Vision Eyewear And Modification To The
Vision Eyewear Prescription Process
Posted: 12/23/2008
Medicaid Providers
Description: Please note that the Medicaid changes will take effect February 1, 2009, not January 1, 2009 unless otherwise noted
Note, That Specific Medicaid Bulletins Regarding These Changes Will Be Sent.
Posted: 12/17/2009 9:36:59 AM
Rural Health Clinics, Internists, Obstetricians/Gynecologists, And Surgeons
Description: Breast And Cervical Cancer Program Changes
Posted: 12/17/2008 3:46:45 PM
Local Education Agencies (LEAs)
Description: Lea Medicaid Provider Manual Clarifications And Changes
Posted: 12/15/2008 11:47:37 AM
Private Rehabilitative Therapy And Audiological Services Providers
Description: Private Rehabilitative Therapy And Audiological Services Medicaid
Provider Manual Clarifications and Changes
Posted: 12/15/2008 11:46:49 AM
Local Education Agencies (Leas) Managed Care Organizations And Medical Homes Network
Description:
I. Clarification Of Coverage For Speech Generating Devices (SGDs)
– Augmentative Alternative Communication (AACs) Devises
II. Reimbursement for Health Care Procedure Coding System
(HCPCS) Procedure codes Associated with SGDs/AACs
Posted: 11/24/2008 9:48:52 AM
Hospital Providers
Description: 2009 Medicare Deductible, Coinsurance And Medicaid
Blood Deductible Rates
Posted: 11/18/2008 3:06:45 PM
Durable Medical Equipment (DME) Providers
Description:
I. Reimbursement Policy Updates, Deletions, Changes
II. Coverage Criteria for Hospital Bed, Semi-Electric (E0260)
III. Coverage Criteria for Use of External Insulin Pump (E0784) and
IV. Revised Medicaid Certificate Of Medical Necessity (MCMN) Form
V. Policy Clarifications for Documentation, Diabetic Strips and
Web-based Claims Status Check
VI. Changes and Clarifications of Policies Concerning Waiver
Services
Posted: 11/13/2008 11:50:09 AM
Amendment Number Two
Description: Prevention Partnership Grants (Gar 09-08)
Posted: 11/5/2008 4:41:43 PM
Dental Providers
Description: Procedure Code Reimbursement Revision
Posted: 11/5/2008 4:34:02 PM
Medicaid Providers
Description: Pharmacy Lock-In Program For Beneficiaries Using Multiple
Pharmacies
Posted: 11/5/2008 2:09:49 PM
Psychiatrists And Physicians
Description: Clarification Of Services Provided By An Allied Professional Under
Physician Supervision
Posted: 11/5/2008 2:08:48 PM
Medicaid Providers
Description: Non-Emergency Ambulance Transportation For Individuals Covered By
Medicare and Medicaid Residing in Skilled Nursing Facilities
Posted: 11/5/2008 2:07:47 PM
Prevention Partnership Grant Elimination
As a result of the South Carolina Budget Reduction Bill passed in October 2008, Prevention Partnership grants will not be awarded. The grant program was targeted for elimination as part of an overall reduction of $76.6 million in state funds from the South Carolina Department of Health and Human Services’ budget. The agency regrets any difficulties caused by the elimination of this program. Please contact Ernestine Staley at (803) 898-2642 if you have additional questions.
Posted: 11/5/2008 1:18:55 PM
Medically Complex Childrens Waiver
Description: New Home And Community Based Waiver Serving Medically Complex Children
Posted: 10/24/2008 1:02:38 PM
Physicians, Hospitals And Managed Care Providers
Description: Changes In Prior Authorization (PA) And Support Documentation
Reviews by Qualis Health
Posted: 10/14/2008 4:03:35 PM
Medicaid and You
Description: Beneficiary Newsletter
Posted: 10/14/2008 11:41:52 AM
Dental Providers
Description: Newly Covered Dental Procedure Codes Added
Posted: 10/10/2008 1:28:45 PM
Pediatric Sub-Specialists
Description: Revised Fee Schedule
Posted: 10/7/2008 1:43:24 PM
Targeted Case Management (TCM) Providers
Description: Suspension of Certain Provisions of The June 17, 2008 Bulletin Regarding
Reimbursement for TCM Activities
Posted: 10/7/2008 1:42:07 PM
HCBS Waiver Application Version 3.5
Description: Application For A §1915 (C) HCBS Waiver
Posted: 10/3/2008 9:32:47 AM
Physicians, Hospital Providers, and Infusion Centers
Description: Rate Increase For Synagis® Injectable
Posted: 9/24/2008 9:36:58 AM
Providers Indicated
Description: South Carolina Medicaid Preferred Drug List
Posted: 9/19/2008 10:37:29 AM
Prevention Partnership Grants (Gar 09-08)
Description: Grant Application Request
Posted: 9/12/2008 11:21:56 AM
Medicaid Providers
Description: Budget Reductions
Posted: 9/11/2008 8:44:39 AM
Medicaid Providers
Description: Electronic Medicaid Bulletins And Electronic Funds Transfer
Posted: 9/4/2008 12:47:58 PM
The Provider Perspective
Description:
Please Note The "Bulletins" Article On Page 1. You must subscribe to the new listserv referenced in the article in order to continue receiving electronic bulletins and news from Medicaid.
Posted: 8/25/2008 4:28:55 PM
Pharmacy Services Providers And Managed Care Organizations
Description: Medicaid Managed Care Pharmacy Services Contact Information
Medicaid Managed Care Pharmacy Services Contact Information Grid
Posted: 8/21/2008 1:31:06 PM
Physicians
Description: Psychiatric And Counseling Services Revision
Posted: 8/8/2008 1:18:13 PM
Hospitals
Description: 2008 Hospital Provider Training
Posted: 8/8/2008 1:17:03 PM
Hospitals
Description: Administrative Days Rates
Posted: 8/8/2008 1:16:04 PM
Audiologists And Local Education Agencies (Leas)
Description:
Subject:I. Reimbursement Updates
a) Audiological Services
b) Psychological Services
II. Newly Covered CPT Code 92568 Added
Posted: 8/8/2008 1:14:32 PM
Nursing Facilities And Intermediate Care Facilities For The Mentally Retarded
Description: Non-Covered Medical Expenses
I.Attachment A
II.Attachment B
Posted: 7/21/2008 4:38:32 PM
Physician and Hospital Providers
Description: Interqual Criteria
Posted: 7/21/2008 4:36:52 PM
Medicaid Providers
Description: New Electronic Health Record System
Posted: 7/15/2008 2:14:56 PM
Providers Indicated
Description: Clarification of National Provider
Identifier (NPI) Billing Instructions for the 837 Professional Transactions
Posted: 7/15/2008 2:13:55 PM
Providers Indicated
Description: Transparency Website
Posted: 7/15/2008 2:12:32 PM
Providers Of Administrative Claiming And Special Needs Transportation In State Agencies
Description: Rescinding The January 29, 2008 Bulletin Calling For The Elimination Of Reimbursement Under The Medicaid Program For School-Based Administration And Some Special Needs Transportation
Posted: 7/9/2008 4:36:46 PM
Physicians Audiologists
Description: Coverage For Cochlear Implant Procedure Codes For Audiologists
Posted: 7/9/2008 4:35:55 PM
Hospital Providers
Description: Outpatient Reimbursement - Multiplier
Posted: 7/9/2008 4:34:59 PM
For Immediate Release
Description: New Internet Tool Puts Patient Information At Physicians’ Fingertips
Posted: 7/3/2008 1:59:26 PM
All Providers
Description: Health Opportunity Accounts (HOA)
Posted: 6/24/2008 9:09:42 AM
Medicaid Providers
Description: Training For The Following:
1. Ambulance Policy and Procedure
2. Revised DHHS Form 216
3. Ambulance Claim Billing Process
Posted: 6/24/2008 9:08:06 AM
Medicaid Providers
Description: Training For The Following:
1. Ambulance Policy and Procedure
2. Revised DHHS Form 216
3. Ambulance Claim Billing Process
Posted: 6/19/2008 9:53:48 AM
Medicaid Bulletin
Description:
- Revised South Carolina Medicaid Preferred Drug List
- Prior Authorization Required for Actig® and Fenotra®
Posted: 6/11/2008 1:14:34 PM
lance Training 2008.pdf" target="_new">
Medicaid Providers
Description: Training For The Following:
1. Ambulance Policy and Procedure
2. Revised DHHS Form 216
3. Ambulance Claim Billing Process
Posted: 6/24/2008 9:08:06 AM
Medicaid Providers
Description: Training For The Following:
1. Ambulance Policy and Procedure
2. Revised DHHS Form 216
3. Ambulance Claim Billing Process
Posted: 6/19/2008 9:53:48 AM
Medicaid Bulletin
Description:
- Revised South Carolina Medicaid Preferred Drug List
- Prior Authorization Required for Actig® and Fenotra®
Posted: 6/11/2008 1:14:34 PM
Providers Indicated
Description: Obstetrical Ultrasound Coverage
Posted: 5/22/2008 3:43:22 PM
Hospitals
Description: Pediatric Anesthesia Services
Anesthesia Attachment/Form
Posted: 5/22/2008 3:41:10 PM
Providers
Description: Telemedicine Home Care Grants (GAR 03-08) Award Notice
Posted: 5/16/2008 3:37:42 PM
Hospital Providers
Description: Infants Born to Minors Eligible for South Carolina Healthy
Connections Kids
Attachments:
Posted: 5/1/2008 8:41:38 AM
Providers Indicated
Description: National Drug Code (NDC) Billing Requirement for Outpatient
Hospital Setting
Posted: 5/1/2008 8:39:01 AM
Telemedicine Home Care Grants (GAR 03-08)
Description: Amendment Number One
Posted: 3/26/2008 3:05:24 PM
Providers Indicated
Description: Family Planning Waiver Renewal
Posted: 3/24/2008 3:05:04 PM
All Providers
Description: New Coverage For Uninsured Children
Posted: 3/20/2008 8:47:16 AM
Providers Indicated
Description: National Provider Identification (NPI) Required On Claims Effective May 24, 2008
Posted: 3/20/2008 8:45:51 AM
Nursing Facilities, Hospice Agencies, And Nurse Aide Programs
Description: Paid Feeding Assistant Program
I. Paid Feeding Assistant
II. State Approved Training Course
III. Procedures for State Approval
IV. Procedures for Bi-Yearly Approval
V. Survey Process
VI. Cost Reporting
Attachments
Attachment A - Nursing Homes Signature Sheet
Attachment B - Nursing Homes Core Curriculum Outline
Attachment C - Nursing Homes Questions & Answers
Posted: 3/17/2008 9:06:26 AM
Telemedicine Home Care Grants (GAR 03-08)
Description: Telemedicine Home Care
Grants (GAR 03-08)
Posted: 3/12/2008 2:39:33 PM
Medicaid Providers
Description:
I. New South Carolina Healthy Connections Medicaid Cards
II. Medicaid Eligibility Verification Services
III. Medicaid Interactive Voice Response System (IVRS)
IV. Web-based Claims Submission Tool
Posted: 3/12/2008 9:45:10 AM
Dental Providers
Description: Medicaid Policy Manual For Dental Services
Posted: 3/11/2008 1:50:48 PM
Primary Health Care Providers
Description: Additional Training Tool For Application Of Fluoride Varnish
Posted: 3/11/2008 1:50:21 PM
Medicaid Providers
Description: Revised Procedures And Reimbursement For The Home Uterine Activity Monitor (HUAM)
Posted: 2/29/2008 4:11:37 PM
Providers
Description: Third Party Liability (TPL) Tips And Training Opportunities
Health Insurance Information Referral Form
Posted: 2/29/2008 4:09:20 PM
Sickle Cell Program Providers
Description: Medicaid Policy Manual For Sickle Cell Services Program
Posted: 2/29/2008 1:20:43 PM
Hospitals
Description: Present On Admission (POA) Indicator
Posted: 2/29/2008 1:19:49 PM
Award Notice
Description: Prevention Partnership Grants (GAR 12-07) Award Notice
Posted: 2/29/2008 8:56:18 AM
Providers Of Administrative Claiming And Special Needs Transportation In State Agencies
Description: Elimination Of Reimbursement Under The Medicaid Program For School-Based Administration And Some Special Needs Transportation Posted: 1/31/2008 11:37:51 AM
Local Education Agencies (LEA) Providers
Description:
I. Occupational Therapy Services
Deletion of Procedure Codes L3800 and L3805 Replacement Procedure Code Coverage Using L3808 II.Speech Language Therapy Services
Deletion of Procedure Code 92506-52 Replacement Procedure Code Coverage Using S9152 Posted: 1/31/2008 11:34:48 AM
Private Rehabilitative Therapy & Audiological Services Providers
Description:
I. Occupational Therapy Services
Deletion of Procedure Codes L3800 and L3805 Replacement Procedure Code Coverage Using L3808 II. Speech Language Therapy Services
Deletion of Procedure Code 92506-52 Replacement Procedure Code Coverage Using S9152 Posted: 1/31/2008 11:30:35 AM
Licensed Midwives
Description: Birthing Center Reimbursement Procedure Change Posted: 1/31/2008 11:29:06 AM
Hospice Providers
Description: Medicaid Hospice Client Summary Report Posted: 1/25/2008 4:40:44 PM
Medicaid Hospice Providers
Description: Community Long Term Care Overlap Procedures And Medicaid Reimbursement Training Posted: 1/25/2008 4:40:08 PM
Home Health Agencies
Description: Social Work Services To Enhance The Effectiveness Of Home Health I. Service Definition II. Reimbursement III. Limitations Posted: 1/25/2008 4:36:58 PM
Head And Spinal Cord Injury (HASCI) Waiver Renewal
Description: A Request To Renew The Head And Spinal Cord Injury Waiver Posted: 1/24/2008 9:55:31 AM
Medicaid Providers
Description: Revised Essure Sterilization Procedures Posted: 1/23/2008 11:08:15 AM
Medicaid Bulletin
Description: National Provider Identification (NPI) Required On Claims Effective March 1, 2008 Posted: 1/22/2008 3:29:51 PM
End Stage Renal Disease, Ambulatory Surgical Center And Infusion Center Clinic Providers
Description: Billing Workshops
Billing Workshop-Directions to Palmetto GBA Building Posted: 1/15/2008 3:03:13 PM
Hospital Providers
Description: 2008 Medicare Deductible, Coinsurance And Medicaid Blood Deductible Rates Posted: 1/15/2008 3:02:07 PM
Prevention Partnership Grants (Gar 12-07)
Description: Prevention Partnership Grants (Gar 12-07) Amendment Number One Posted: 1/11/2008 11:07:44 AM
Providers Indicated
Description:
- South Carolina Medicaid Preferred Drug List
- National Provider Identification (NPI) Requirement for Pharmacy Services Claims
- Third Party Liability (TPL) Claims Submission Requirement
Posted: 12/20/2007 4:26:05 PM
Pediatric Sub-Specialists
Description: Revision Of Pediatric Sub-Specialists Fee Schedule
Posted: 12/20/2007 10:35:17 AM
Prevention Partnership Grant Application Request Gar 12-07
Description: Prevention Partnership Grants
Posted: 12/14/2007 3:30:27 PM
Award Notice
Description: Prevention Partnership Grants (Gar 08-07) Award Notice
Posted: 11/29/2007 2:14:36 PM
Press Release
Description: New Study Shows Medicaid Beneficiaries Satisfied With Transportation Services
Posted: 11/27/2007 12:02:27 PM
Medicaid Providers And Transportation Brokers
Description:
- I. Non-Covered Transportation
- II. Non- Emergency Ambulance Services Outside of the Transportation Broker
- III. The Non- Emergency Transportation Broker Program
Revised
DHHS Form 216
Posted: 11/20/2007 4:03:13 PM
End Stage Renal Disease Clinic Providers
Description: Revision To October 10, 2007 Bulletin
Bulletin Section V - End Stage Renal Disease (ESRD) Rate Adjustment
Posted: 11/20/2007 4:01:57 PM
Supplemental NEMT Flow Chart
Posted: 11/21/2007 1:46:16 PM
Local Education Agencies (LEA)
Description:
I. Changed/Added Procedure Codes With New Modifiers And Modifer Description Changes
II. Reimbursement Changes
III. Revised Audiologist Qualifications
Posted: 11/16/2007 4:46:46 PM
Medicaid Providers
Description: Clarification Of Early And Periodic Screening, Diagnosis, And Treatment (EPSDT) Billing And Reimbursement Policies
Posted: 11/16/2007 4:46:03 PM
Private Rehabilitative Therapy & Audiological Services
Description:
I. Reimbursement Changes
II. Revised Audiologist Qualifications
III. Retroactive Adjustments
Posted: 11/16/2007 4:45:16 PM
Dental Providers
Description: Extension Of Acceptance Of The American Dental Association (ADA) 1999 Version 2000 Claim Form
Schedule for Additional Training Classes on Completion of the ADA 2006 Claim Form and National Provider Identification (NPI) Update
Posted: 11/1/2007 2:59:24 PM
Pediatric Sub-Specialists
Description: Revised Fee Schedule
Posted: 10/30/2007 1:17:59 PM
Medicaid Providers
Description: Physician Fee Schedule Update
- Rate Change for Physician Administered Injectable Drugs
- Adult Preventative Wellness Exams
- Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Rate Increase
- End Stage Renal Disease (ESRD) Rate Adjustment
- Resolution for the 301 Edit Code
- Modification to Additional Ambulatory Visit Requests for Beneficiaries
- Modification to Policy Regarding Ambulatory Visits for Beneficiaries in Nursing Home Care
- Discontinuation of the Physicians Enhanced Program (PEP)
- Revised Essure Sterilization Procedures
Posted: 10/25/2007 2:22:46 PM
Hospital Providers
Description: Program Updates
Posted: 10/19/2007 10:10:40 AM
Prevention Partnership Grants (GAR 08-07)
Description: Amendment Number One
Prevention Partnership Grants (GAR 08-07)
Posted: 10/8/2007 2:53:57 PM
Providers Indicated
Description: South Carolina Medicaid Preferred Drug List
Posted: 10/5/2007 4:56:30 PM
Providers Indicated
Description: New Warning Messages And Edit Codes Related To National Provider Identification (NPI)
Posted: 10/5/2007 4:55:37 PM
Ambulance Providers
Description: Rate Increase For Ground Emergency
Ambulance Transportation Services
Posted: 10/1/2007 4:55:57 PM
Providers Indicated
Description: Medicaid Tamper Resistant Prescription Requirement Delayed
Posted: 10/1/2007 4:54:49 PM
Medicaid Providers of Personal Care I And Agency Companion Services
Description: Community Long Term Care (CLTC) Reimbursement Changes For
Personal Care I and Agency Companion Services
Posted: 9/27/2007 4:41:21 PM
Integrated Personal Care (IPC) Providers
Description: Reimbursement Increase
Posted: 9/27/2007 4:39:57 PM
Medicaid Providers Of Personal Care II And Head And Spinal Cord Injury (HASCI) Attendant Care Services
Description: CLTC: Reimbursement Changes For Personal Care II And Head And
Spinal Cord Injury (HASCI) Attendant Care Services
Posted: 9/27/2007 4:39:10 PM
Medicaid Providers of Personal Emergency Response Systems
Description: CLTC: Reimbursement Changes For Personal Emergency Response
System Installation and Monitoring
Posted: 9/27/2007 4:37:51 PM
Medicaid Providers of Pest Control Services
Description: Change In Rates And Frequency Of Pest Control Services
Posted: 9/27/2007 4:36:54 PM
Medicaid DME Providers Of Nutritional Supplements
Description: Change In Payment Rate For Regular Nutritional Supplements
Posted: 9/27/2007 4:35:52 PM
Medicaid Providers of Home Delivered Meals
Description: Community Long Term Care (CLTC) Reimbursement Changes For
Home Delivered Meals
Posted: 9/27/2007 4:34:10 PM
Local Education Agencies (LEA)
Description: Lea Medicaid Bulletin Correction
Posted: 9/14/2007 4:06:05 PM
Prevention Partnership Grant Application Request
Description: Prevention Partnership Grants
Posted: 9/14/2007 8:30:17 AM
Medicaid Providers
Description: Rules For Medicaid Tamper-Resistant Prescription Pads
Posted: 8/30/2007 3:51:17 PM
Nursing Facilities And Intermediate Care Facilities For The Mentally Retarded
Description: Medicaid Reimbursement Training
Posted: 8/28/2007 10:00:48 AM
Local Education Agencies
Description:
- Revised Code Coverage
- CPT 2007 Descriptive Changes
- Procedure Code V5275 Changes
- Revised Medicaid Standards for Therapeutic Behavioral Services and Psychosocial Rehabilitation Services
- Changes to Medicaid Applied Behavioral Therapy Services
- Psychological Testing/Evaluation Revisions
- Medicaid Adolescent Pregnancy Prevention Services (MAPPS)
Posted: 8/28/2007 9:56:46 AM
Summary of Vent Waiver
Description: Summary Of The Medicaid Mechanical Ventilator Waiver Renewal
Posted: 8/22/2007 4:37:12 PM
Mechanical Ventilator Waiver
Description: This is a request to renew South Carolina's Mechanical Ventilator Waiver.
Posted: 8/22/2007 4:37:32 PM
Healthy Connections Choices Fact Sheet
Description: South Carolina Healthy Connections Choices Fact Sheet
Posted: 8/16/2007 3:13:34 PM
SC Healthy Connections Release
Description: SCDHHS Launches Medicaid Choice Campaign
Posted: 8/16/2007 3:11:41 PM
Private Rehabilitative Therapy & Audiological Services
Description:
- Additional Code Coverage
- Current Procedural Terminology (CPT) 2007 Descriptive Change
- Unit of Services and Frequency Changes for CPT Codes 92507 and 92508
- Procedure Code V5275 Changes
Posted: 8/10/2007 12:29:41 PM
Community Mental Health Services Providers
Description: Policy Revisions To The Medicaid Manual For Community Mental
Health Services (CMHS)
Posted: 8/10/2007 12:28:10 PM
Physicians, Hospitals And Managed Care Providers
Description: Prior Authorization (Pa) And Support Documentation Reviews By The
New Quality Improvement Organization, Qualis Health
Posted: 8/8/2007 12:23:52 PM
Pediatric Sub-Specialist
Pediatric Sub-Specialist Form
Description: Clarification To Pediatric Sub-Specialist Program
Posted: 8/6/2007 4:07:37 PM
Gov. Sanford Names Emma Forkner As DHHS Director
Description: Health Care Consultant, Air Force Colonel, SC Native
Posted: 8/3/2007 12:59:13 PM
Physician Enhanced Program Providers
Description: Physician Enhanced Program
Posted: 8/2/2007 3:44:09 PM
Residential Children’s Behavioral Health Services Providers And Child Placing State Agencies
Description: Changes To Treatment Rates For Residential Service Providers
Posted: 7/27/2007 4:36:08 PM
Primary Care Physicians And Dentists
Description: Fluoride Varnish Application
Posted: 7/27/2007 4:35:21 PM
Medicaid Providers
Description: Modification Of The Preventative Care Services Billing Procedures For Covered Colorectal Cancer Screenings
Posted: 7/27/2007 4:34:18 PM
South Carolina Named First State For Medicaid Innovation
Description: Administration’s Groundbreaking Medicaid
HEALTH CARE PLANS CHOSEN FOR NATIONAL MODEL
Posted: 7/20/2007 10:12:40 AM
Medicaid Providers Of Nursing Services
Description: Cltc: Reimbursement Changes For Nursing Services
Other Providers of Nursing Services for Children Under 21
Posted: 7/11/2007 10:28:22 AM
Medicaid Providers Of Adult Day Health Care
Description: Cltc: Reimbursement Changes For Adult Day Health Care
Posted: 7/11/2007 10:24:24 AM
Interested Civil Money Penalty Funding Applicants-Organizations Only
Description: Beginning July 1, 2007, The SCDHHS Will Again Accept Applications For The CMPQI Program.
Posted: 7/6/2007 9:20:44 AM
Ambulatory Surgery Centers, Hospital Providers And Ophthalmologists
Description: Coverage And Reimbursement Of Corneal Transplant Tissue
Posted: 7/2/2007 4:43:55 PM
Medicaid Providers Of Case Management Services
Description: Community Long Term Care Reimbursement
Changes for Case Management Services
Posted: 7/2/2007 9:52:49 AM
Providers Of Professional And Hospital Services
Description: Revised Procedures For Organ Transplant Services
Posted: 7/2/2007 9:50:04 AM
Hospital Providers
Description: Reimbursement On Questionable Admission Claims (Edit 105)
Posted: 7/2/2007 9:48:43 AM
Medicaid Providers
Description: Clarification Of Family Planning Policy
Posted: 7/2/2007 9:47:41 AM
Alcohol And Other Drug Abuse Services Providers
Description: Policy Revisions To The Medicaid Manual For Alcohol And Other Drug (Aod) Abuse Services
Posted: 6/22/2007 2:13:53 PM
Providers Indicated
Description: South Carolina Medicaid Preferred Drug List
Posted: 6/22/2007 2:12:28 PM
Medicaid Providers
Description: Durable Medical Equipment’s Fee Schedule Update
Posted: 6/22/2007 2:10:25 PM
Children’s Behavioral Health Services Providers
Description: Policy Revisions To The Medicaid Manual For Children’s Behavioral Health Services (CBHS)
Posted: 6/11/2007 11:26:50 AM
Dental Providers
Description: Deadline Extension For The American Dental Association
1999 version 2000 Claim Form
Posted: 5/24/2007 3:32:37 PM
All Providers
Description: New Medicaid Quality
Improvement Organization (Qio)
Posted: 5/24/2007 3:31:16 PM
Medicaid Providers
Description: Revised SCDHHS Claim Adjustment Form 130
Posted: 5/24/2007 3:30:28 PM
Providers
Description: New Edit Codes Related To National Provider Identification
Posted: 5/24/2007 3:29:24 PM
All Medicaid Providers
Description: Enrollment Counseling Services
Posted: 5/2/2007 3:51:36 PM
Pharmacy Providers
Description: National Provider Identifier Contingency
Posted: 4/27/2007 3:28:40 PM
Providers Indicated
Description: National Provider Identifier Contingency
Posted: 4/27/2007 3:27:32 PM
Providers Indicated
Description: Medicare Part B Drugs And Secondary Billing Through The Pharmacy
Point-Of-Sale System
South Carolina Medicaid Preferred Drug List
Posted: 4/27/2007 8:53:01 AM
Early Intervention Services
Description: Medicaid Policy Manual For Early Intervention Services
Posted: 4/20/2007 3:56:44 PM
Medicaid Bulletin
Description: Credit Balance Review Project
Posted: 4/19/2007 2:37:32 PM
Medicaid Updates
Description:
- 2007 Current Procedural Terminology (Cpt) Update
- Modification to Billing Requirements for EPSDT Services on the Revised CMS 1500 Form
- Clarification of Nerve Conduction Studies Policy
- Modification of the Preventative Care Services Billing Procedures
for Covered Cancer Screenings
- Coverage and Billing Information for the Gastrostomy Button Device
Feeding Tube Kit
- Clarification of CPT Codes and Rates for the Administration of Vaccines and Immunizations in the "Vaccine Administration For All
Children” (VAFAC) Program
Posted: 4/13/2007 2:18:25 PM
Ambulance Providers
Description: Training
Transportation Services Broker Update
National Provider Identifier (NPI)
Revised CMS-1500 Claim form
Posted: 4/12/2007 5:03:07 PM
Foster Care Individual Transportation Providers (ITP)
Description: Itp Re-Enrollment Training
Medicaid Transportation Invoice – 217 Claim Form
ITP Reimbursement Procedures
Posted: 4/12/2007 5:00:33 PM
Providers Of Preventive/Rehabilitative Services For Primary Care Enhancement (P/RSPCE) Services
Description: Annual Workshop
Posted: 4/3/2007 4:32:25 PM
Dental Providers
Description:
American Dental Association (ADA) 2006 Claim Form,
Centers for Medicare and Medicaid Services (CMS) Revised 1500 (08/05)
Claim Form and the National Provider Identifier (NPI)
Posted: 4/3/2007 3:50:05 PM
Orientation And Mobility Providers
Description:
I New Reimbursement Rates For Orientation And Mobility Services
II The Proper Use of Modifiers
III Retroactive Adjustments
Posted: 4/3/2007 3:49:21 PM
Providers Of Medicaid Adolescent Pregnancy Prevention Services
Description: Annual Workshop
Posted: 4/3/2007 3:48:15 PM
SCDHHS Director Bids Farewell To Agency
Description: Robert M. Kerr Announced His Resignation Thursday As Director Of The South Carolina Department Of Health And Human Services, Effective In Approximately Three Weeks.
Posted: 3/29/2007 2:16:33 PM
Medicaid Providers
Description: CMS-1500 Update
Posted: 3/29/2007 10:43:52 AM
Obstetrical Ultrasounds Coverage
Description: Effective on or after June 1, 2007, the South Carolina Department of Health and Human Services
(SCDHHS) will update its policy to cover two obstetrical ultrasounds per pregnancy.
Posted: 3/29/2007 3:28:06 PM
Medicaid Ambulance Providers
Description: Emergency Ambulance Services Outside The Brokerage Model
Attachment - Form 216
Posted: 3/29/2007 8:35:00 AM
Medicaid Providers
Description: Medicaid Transportation Update
Posted: 3/29/2007 8:34:26 AM
Modification Clarification Resoltion For 202 Edit
Description:
I. Modification And Clarification Of Requirements For Submitting The National Drug Code (NDC) In Conjunction With The Drug-Related Healthcare Common Procedure Coding System (HCPCS) Code
II. Resolution for the 202 Edit Code
Posted: 3/19/2007 10:18:39 AM
Payment Error Rate Measurement (PERM)
Description: Under PERM, the Centers for Medicare and Medicaid Services
(CMS) will measure the accuracy of Medicaid and State Children’s Health Insurance
Program (SCHIP) payments made by States by choosing a sample of claims for review.
Posted: 3/19/2007 9:59:00 AM
Pharmacy Services Providers
Description: National Provider Identifier (NPI) Requirements For South Carolina Medicaid
Posted: 3/6/2007 1:30:01 PM
DME Providers
*** This replaces the bulletin e-mailed on March 2 ***
Description: Billing Workshops
Posted: 03/06/2007
Dental Providers
Description: Implementation Of The Copyrighted American Dental Association’s (Ada’s) 2006 Claim Form
2006 (ADA)
CLAIM FORM FOR MEDICAID REIMBURSEMENT
ADA Dental Claim Example
Posted: 3/6/2007 8:39:01 AM
Oral And Maxillofacial Surgeons
Description: Implementation Of The Centers For Medicare And Medicaid Services (Cms) 1500 (08/05) Claim Form
ADA-CMS 1500
Health Insurance Claim Example
Posted: 3/5/2007 4:49:49 PM
Medicaid Providers
Description: Etonogestrel Implant (Implanon™) Coverage
Posted: 3/5/2007 4:43:56 PM
Durable Medical Equipment Providers (DME)
Description: Reimbursement Updates And Changes
Posted: 3/2/2007 2:56:31 PM
Psychological Services For Children Under 21 Providers
Description: Psychological Services Program Policy And Reimbursement Training
Posted: 3/2/2007 2:53:48 PM
Pharmacy Services Providers
Description: National Provider Identifier (NPI) Requirements For
South Carolina Medicaid Pharmacy Claims
Posted: 3/2/2007 2:52:04 PM
S.C. Medicaid Agency Thanks Tipsters; Urges Others To Report Fraud
Description:
On the heels of Tuesday's guilty plea of an Upstate transportation provider for making false Medicaid claims, the South Carolina Department of Health and Human Services wishes to applaud those who report suspected fraud and abuse in the system.
Posted: 3/1/2007 10:58:52 AM
Alcohol And Drug Rehabilitation Services Providers
Description: Medicaid Policy Manual For
Alcohol and Drug Rehabilitation Services Providers
Posted: 2/15/2007 8:56:24 AM
Medical Care Advisory Committee
- Meet:
- February 20, 2007
Agenda
- Time:
- 10:30 am
- Where:
- 1801 Main Street
11th Floor Conference Room
Columbia, SC
Psychological Services Providers
Description: Medicaid Provider Manual For Psychological Services
For Children Under 21
Posted: 2/1/2007 2:04:28 PM
Medicaid Bulletin
Description: Revision To December 13, 2006 Bulletin
Section II - Administrative Days Rates
Posted: 2/1/2007 12:28:02 PM
Medicaid Bulletin
Description: Coverage Of Positron Emission Tomography (PET) Scans
Posted: 1/29/2007 8:49:16 AM
CMS Approves SCDHHS' PDD Waiver Application
Waiver Approval Letter
Updated Waiver Document
Posted: 1/22/2007 8:51:33 AM
Inpatient Psychiatric Hospitals And Psychiatric Residential Treatment Facilities For Children Under 21
Description:
- Ub-04 Billing Form/Npi Provider Workshops
- UB-04 Billing Form Timeline
- UB-04 Form Completion
Posted: 1/16/2007 4:17:12 PM
Medicaid Bulletin
Description:
- Dose Optimization Program
- S. C. GAPS Program and Medicare Part D Prescription Drug Plans
- South Carolina Medicaid Preferred Drug List
Posted: 1/16/2007 4:14:42 PM
Durable Medical Equipment Providers (DME)
Description: Reimbursement Updates And Changes
Posted: 1/9/2007 12:44:33 PM
Dental Providers
Description: Training For:
American Dental Association’s (ADA’s) 2006 Claim Form
Centers for Medicare and Medicaid Services (CMS) Revised 1500 (08/05) Claim Form
Posted: 1/9/2007 12:43:56 PM
Medicaid Providers
Description: Employee Education About False Claims Recovery
Posted: 1/9/2007 12:43:04 PM
Autistic Disorder And Asperger's Syndrome Pilot Program Application
Description:
This message is to notify you about the application process.
Posted: 12/20/2006 2:24:21 PM
Durable Medical Equipment Providers (DME)
Description:
- Reimbursement Updates, Deletions And Changes
- Miscellaneous Updates
- Power Wheelchair Policy Update
- MCMNs Update
Posted: 12/19/2006 9:34:11 AM
Hospital Providers
Description:
- Medicare Deductible, Coinsurance And Medicaid Blood
- Administrative Days Rates
- New Revenue Codes
Posted: 12/19/2006 9:31:23 AM
Ambulatory Surgery Centers, Hospital Providers And Ophthalmologist
Description: Coverage And Reimbursement Of Corneal Transplant Tissue
Posted: 12/19/2006 9:30:39 AM
Physicians, Hospital Providers, And Clinics
Description: Rate Changes For Physician Administered Injectable Drugs
Posted: 12/18/2006 3:04:30 PM
CMP Civil Money Penalty Grant Results Announcement
Description: Thank you to all who submitted a Civil Money Penalty Grant Proposal.
Posted: 12/8/2006 12:38:57 PM
Pediatric Sub-Specialist
Description: Update To Pediatric Sub-Specialist Program
Posted: 12/7/2006 3:59:15 PM
Diabetes Management Services Providers
Description: Medicaid Policy Manual For Diabetes Management Services
Posted: 12/7/2006 3:58:47 PM
Providers Of Diabetes Management Services
Description: Billing Workshops
Posted: 12/7/2006 3:58:04 PM
Do You Have Your National Provider Identifier (NPI) Yet?
Description: On And After May 23, 2007, South Carolina Medicaid Will No Longer Accept Your
6-character provider ID!
Posted: 11/27/2006 10:16:03 AM
Medicaid Bulletin
Description: Tobacco Cessation Programs In South Carolina
Posted: 11/13/2006 8:51:36 AM
Award Notice
Description: Prevention Partnership Grants (GAR 08-06) Award Notice
Posted: 11/3/2006 11:30:11 AM
Medicaid Certified Nursing Facilities and Organizations
Description: CMP Grant Reminder Notice
Teleconference Reminder
Time Line For CMP Grant Process
FINAL Combined Guidelines
Posted: 10/17/2006 2:10:36 PM
Medicaid Providers
Description: Early And Periodic Screening, Diagnosis And Treatment (Epsdt)
Reimbursement Update
Reminder Regarding EPSDT Billing and Reimbursement Policies
Posted: 10/16/2006 10:11:20 AM
Medicaid Bulletin
Description:
Posted: 10/13/2006 8:37:37 AM
Hospice Agencies
Description: Medicaid Hospice Program And Reimbursement Training
Posted: 10/9/2006 4:50:02 PM
Durable Medical Equipment Providers (DME)
Description:
- Reimbursement and Policy Updates, Deletions and Changes
- Parenteral and Enteral Nutrition (PEN) Supply Clarifications and Updates
- Oxygen Equipment Reimbursement Changes and Updates
- Continuous Positive Airway Pressure (CPAP) Coverage Changes
- Billing of Zero-Pressure Tire Tube Inserts K0093 and K0097
- Adjustable Wheelchair Cushion Codes
- Power Wheelchairs
- Expanded PT/OT Requirements
- New Medicaid Certificate of Medical Necessity (MCMN)
- Miscellaneous Updates and Policy Clarifications
- Updated Provider Enrollment Operating Procedures
Posted: 10/9/2006 9:38:58 AM
Physicians, Hospital Providers, And Infusion Centers
Description: Rate Increase For Synagis® Injectable
Posted: 10/4/2006 5:06:06 PM
Behavioral Health Services Providers
Description: Advanced Medicaid Reimbursement Training
Posted: 10/4/2006 5:05:35 PM
Dental Providers
Description: Reactivation Of Dental Procedure Codes
Posted: 10/4/2006 5:05:01 PM
CMP Grant Information
Description: Civil Money Penalty Quality Initiatives Grant Program September 27, 2006 Teleconference Reminders
Posted: 9/28/2006 1:23:56 PM
GAPS Prescription Drug Coverage Enrollment Extended
Description: Qualifying Seniors With High Prescription Drug Costs Can Still Participate In A Program That Could Save Them Thousands Of Dollars A Year.
Posted: 9/26/2006 1:50:03 PM
All Medicaid Providers
Description: National Provider Identifier (NPI):
Get It. Share It. Use It. Getting an NPI is free. Not having one can be costly.
Posted: 9/26/2006 10:23:22 AM
Medicaid Physicians
Description:
- Clarification Of Medicaid Coverage Policy For Vaccines
- Clarification of Current Procedural Terminology (CPT) Codes and Rates for the Administration of Vaccines and Immunizations in the "Vaccine" Administration For All Children” (VAFAC) Program
- Adult Influenza Vaccine
- Adult Meningococcal Vaccine
Posted: 9/25/2006 8:51:56 AM
Nursing Facility Providers
Description: Change In Bed Size Or Location Of Participating Medicare And/Or Medicaid Nursing Facilities
Posted: 9/22/2006 8:44:41 AM
Medicaid Providers Of Home Delivered Meals
Description: Community Long Term Care (CLTC) Reimbursement Changes For Home Delivered Meals
Posted: 9/20/2006 11:15:49 AM
Medicaid Providers Of Personal Care I And Companion Services
Description: Community Long Term Care (CLTC) Reimbursement Changes For Personal Care I and Companion Services
Posted: 9/20/2006 11:15:11 AM
Medicaid Bulletin
Description: New National Drug Code (Ndc) Billing Requirement For Drug-Related Hcpcs Codes Revised CMS 1500 referenced in the bulletin
CMS 1500 Form 08-05
Posted: 9/13/2006 11:56:33 AM
Durable Medical Equipment (Dme) Providers
Description: Changes And Clarifications Of Policies Concerning Waiver Services Posted: 9/13/2006 11:50:29 AM
Updated Rules Regarding Citizenship
Description: All Individuals Will Be Required To Provide Proof Of Citizenship And Identity When They Apply Or Re-Enroll For Medicaid Benefits On Or After July 1, 2006
Certified Nursing Facilities And Organizations.
CMP Quality Initiative Grant Application Request For South Carolina Medicaid
- Description:
- The Goal Of This Program Is To Enhance The Quality Of Care And The Quality Of Life For Nursing Facility Residents Through Initiatives That Focus On Education.
Posted:
9/12/2006 10:39:35 AM
Prevention Partnership Grants (Gar 08-06)
Description: Amendment Number One
Posted: 9/6/2006 3:29:35 PM
Medicaid Providers
Description: Physicians' Fee Schedule Update
Posted: 8/31/2006 4:59:43 PM
Pediatric Sub-Specialists
Description: Revised Fee Schedule
Posted: 8/31/2006 4:59:12 PM
Medicaid Bulletin
Description: Interaction Between Medicaid Home And Community-Based Services (HCBS) Waiver Programs and the Hospice Benefit
Posted: 8/25/2006 4:35:59 PM
Prevention Partnership Grants (Gar 08-06)
Description: To Implement Or Expand Innovative Preventive Health Programs And Activities With Documented Outcomes For South Carolinians.
Posted: 8/22/2006 1:34:25 PM
Public Notice
Description: Meeting For Comments On Proposed Home And Community-Based Services Waiver To Serve Children With Autism Wednesday, September 13
Two Medical Park, Lower Level Conference Room
Medical Park Drive
On the campus of Palmetto Richland Hospital
Columbia, SC
Posted: 8/18/2006 3:37:08 PM
Former SILVERxCARD Beneficiaries
Description:
If You Want To Take Advantage Of The Gaps Benefit, You Must Be Enrolled In A Medicare Part D prescription drug plan that participates in GAPS.
Posted: 8/4/2006 9:35:52 AM
News Release
Description: New Computer System To Tackle Medicaid Fraud
Posted: 8/8/2006 11:08:32 AM
Private Rehabilitative Therapy & Audiological Services
Description: Frequency Increase For Audiological Services Posted: 8/3/2006 11:04:59 AM
Anesthesiologists, Certified Registered Nurse Anesthetists, And Hospitals
Description: Reimbursement Update Revision and Clarification of Enrollment Guidelines for Nurse Anesthetists Posted: 8/3/2006 11:03:58 AM
South Carolina Medicaid Providers
Description: Modification Of Preventative Care Services For Covered Cancer Screenings
Posted: 8/2/2006 9:55:45 AM
SC Medicaid To Offer Colon Cancer Screenings
Description: SC Medicaid Recipients Are Now Eligible For Colorectal Cancer Screenings Through A Program Administered By The SC Department Of Health And Human Services.
Posted: 8/2/2006 9:25:47 AM
Local Education Agencies
Description:
- Frequency Changes For Audiological Services
- Reimbursement Changes for Audiological Services
- Reimbursement Changes for Physical Therapy Services
Posted: 8/1/2006 8:49:47 AM
Nursing Facilities And Intermediate Care Facilities For The Mentally Retarded
Description: Medicaid Reimbursement Training
Posted: 7/31/2006 1:51:32 PM
Medicaid Bulletin
Description: Clarification Regarding Physician Requests For Additional Posted: 7/21/2006 1:58:12 PM
Optional State Supplementation (Oss) Providers
Description: Oss Entitlement Increase Posted: 7/17/2006 11:16:44 AM
Residential Therapeutic Behavioral Services Providers
Description: Medicaid Documentation Training And Overview Of The Children's Behavioral Health Services Provider Manual. Posted: 7/11/2006 11:00:13 AM
SC Choice Waiver Renewal Approval
Description: South Carolina's Community Choices Home And Community Based (HCB) Waiver, control # SC 0405.90-IP, has been approved.
Posted: 7/11/2006 10:29:46 AM
SC Choice Waiver Renewal Application
Description: This Is A Request To Renew South Carolina's Independence Plus Waiver, South Carolina Choice. Posted: 7/11/2006 10:26:23 AM
Medicaid Providers Of Nursing Services
Description:
- CLTC: Reimbursement Changes for Nursing Services
- Other Providers of Nursing Services for Children Under 21
Posted: 6/28/2006 12:31:45 PM
Medicaid Providers Of Adult Day Health Care
Description: Description:
- CLTC: Reimbursement Changes for Adult Day Health Care
- Changes in Scopes of Service for Adult Day Health Care and Adult Day Health Care Nursing Services
Posted: 6/28/2006 12:30:15 PM
Medicaid Providers Of Adult Day Health Care
Description:
- CLTC: Reimbursement Changes for Adult Day Health Care
- Changes in Scopes of Service for Adult Day Health Care and Adult Day Health Care Nursing Services
Posted: 6/28/2006 12:16:05 PM
Medicaid Providers Of Personal Care II Services
Description:
- CLTC: Reimbursement Changes For Personal Care II Services
- Changes in Scopes of Service for Personal Care Services
Posted: 6/28/2006 12:12:53 PM
Medicaid Bulletin
Description:
- Synagis® Added to Listing of Physician-Injectable Products Billable By Pharmacy Providers
- Coding Changes for Coordination of Benefits (COB) Claims Submitted by Pharmacy Providers
- South Carolina Medicaid Preferred Drug List
Posted: 6/22/2006 10:06:52 AM
Chiropractic Providers
Description: Chiropractic Services Fee Schedule Update
Posted: 6/22/2006 9:34:39 AM
Updated Rules Regarding Citizenship
Description: All Individuals Will Be Required To Provide Proof Of Citizenship And Identity When They Apply Or Re-Enroll For Medicaid Benefits On Or After July 1, 2006
Posted: 06/16/2006
Public Notice:
The South Carolina Medicaid
Medical Care Advisory Committee (MCAC)
Meets: Tuesday, May 16
Time: 10:30 a.m.
Where: 11th Floor, 1801 Main St.
Columbia, SC 29201
Physicians, Hospitals, Chiropractors, Optometrists, Podiatrists, And Lab/X-Ray Providers
Description: Medicaid Updates
- 2006 Current Procedural Terminology (CPT) Update
- Laboring Epidural Policy Revision
- Out of State Service’s Policy Revision and Clarification
Posted: 5/2/2006 3:29:11 PM
Durable Medical Equipment (Dme) Providers
Description: Invitation To Provide Dme Services And Supplies For Recipients Of Community Long Term Care (Cltc) Home And Community Based Waiver Programs
Posted: 6/29/2006 9:03:09 AM
Children’s Behavioral Health Services Providers
Description: Medicaid Manual For Children’s Behavioral Health Services
Posted: 4/26/2006 10:04:57 AM
Medicaid Bulletin
Description: Sharing Your National Provider Identifier With The South Carolina Medicaid Program
Posted: 4/24/2006 4:41:05 PM
Private Rehabilitative Therapy & Audiological Services
Description: Provider Workshop
Posted: 4/24/2006 9:10:04 AM
Children’s Behavioral Health Services Providers
Description: Medicaid Policy Manual For Children’s Behavioral Health Services
Posted: 4/18/2006 2:05:30 PM
Gaps Enrollment Deadline Approaching
Description:
South Carolina Seniors Have Until May 15 To Enroll In One Of 11 Private Prescription Drug Plans Offering The New
GAPS
Benefit Administered By The Sc Department Of Health And Human Services.
Posted: 4/18/2006 1:46:32 PM
Community Long Term Care (CLTC) Environmental Modification Providers
Description: Change In The Procedure And Pricing Of Ramps And Landings
Posted: 4/12/2006 2:48:58 PM
Pharmacy And Therapeutics Committee Meeting
Description: Wednesday, May 3, 2006
Posted: 4/7/2006 2:26:42 PM
Medical Care Advisory Committee
Description: April 18, 2006 Meeting Cancelled
Posted: 4/4/2006 1:16:49 PM
Oral And Maxillofacial Surgeons
Description: Current Procedural Terminology (CPT) 2006 Procedure Code Updates
Posted: 4/13/2006 9:34:07 AM
Community Choices
Description: Application For A §1915 (C) HCBS Waiver
Posted: 3/30/2006 4:10:46 PM
Durable Medical Equipment Providers (DME)
Description:
- Reimbursement and Policy Updates, Deletions and Changes
- Policy Clarifications
- Coverage Criteria for Negative Pressure Wound VAC
- Orthopedic Shoes
Posted: 3/27/2006 11:48:08 AM
Physicians And Hospitals
Description: Essure Sterilization And Prior Authorization Procedure
Posted: 3/23/2006 4:57:17 PM
Public Notice:
The South Carolina Medicaid
Medical Care Advisory Committee (MCAC)
Meets: Tuesday, March 21
Time: 10:30 a.m.
Where: 11th Floor, 1801 Main St.
Columbia, SC 29201
Medicaid Bulletin
Description:
- Medicare Part B Drugs - Clarification Of Pharmacy Provider Instructions For "Secondary Payer" Pharmacy Claims
- South Carolina Medicaid Preferred Drug List
Posted: 3/16/2006 3:50:08 PM
Children's Behavioral Health System Of Care Redesign
Description: South Carolina 1115 Emotionally Disturbed Children Waiver Concept Paper
Posted: 3/15/2006 10:32:47 AM
Private Rehabilitative Therapy & Audiological Services Providers
Description: Provider Workshops
Posted: 3/14/2006 12:48:56 PM
Hospital Providers
Description: Medicare Deductible, Coinsurance, And Medicaid Blood Deductible Rates
Posted: 3/7/2006 1:32:45 PM
Hospital Providers
Description: 2006 Hospital Provider Quarterly Trainin
Posted: 3/7/2006 1:32:01 PM
Local Education Agencies
Description: Lea Manual Updates
Posted: 3/1/2006 1:51:25 PM
For Immediate Release
Description: Dhhs Announces Plan To Enhance Treatment Of Emotionally Disturbed Children
Posted: 2/24/2006 1:43:34 PM
Hospital Providers
Description: Medicaid Program Policy Updates And Revisions
Posted: 2/7/2006 1:59:32 PM
Ambulance Providers
Description: New Ambulance Provider Procedure Code
Posted: 2/7/2006 1:58:01 PM
Medicaid Providers
Description: Pediatric Sub-Specialist Qualifications, Enrollment, And Reimbursement
Posted: 1/27/2006 3:51:39 PM
All Providers Of Postpartum/Infant Home Visits
Description: Changes To Program Guidelines And Rates
Posted: 1/25/2006 4:37:16 PM
Providers Of Psychological Testing And Evaluation Service (96100)
Description: 2006 Current Procedural Terminology (Cpt) Update
Posted: 1/13/2006 3:23:07 PM
Private Rehabilitative Therapy And Audiological Services Providers
Description: Medicaid Policy Manual For Private Rehabilitative Therapy And Audiological Services
Posted: 1/9/2006 4:35:03 PM
Ambulance, Physicians, Nursing Homes And Adult And Community Residential Care Facilities
Description: Policy Update For Non-Emergency Wheelchair Ambulance Transport
Posted: 1/9/2006 4:26:42 PM
April - 2005
Medicaid Adolescent Pregnancy Prevention Services (MAPPS) Providers
Description: Changes In Medicaid Policy
Providers Indicated
Description: I. Submission Of Correct Days' Supply On Pharmacy Claims
II. Billing Metric Decimal Quantities for Dispensed Pharmaceuticals
III. Brand Medically Necessary" Prescriptions Billed to Medicaid
IV. South Carolina Medicaid Preferred Drug List - Additional Therapeutic Classes
March - 2005
Physicians, Hospitals And Infusion Centers
Description: Administration Of Synagis® (Palivizumab) Intramuscular Injections To Medicaid
Patients during the Month of April of the Respiratory Synctial Virus (RSV)
Season
Hospital Services Providers
Description: Medicaid Policy Manual For Hospital Services Providers
Integrated Personal Care Providers
Description: Medicaid Policy Manual For Integrated Personal Care Providers
Local Education Providers
Description: Medicaid Policy Manual For Local Education
Providers Indicated
Description: Billing Requirements For Clinical Diagnostic Laboratory Services
February - 2005
Durable Medical Equipment (Dme) Providers
Description: 2005 Health Care Procedure Coding System (Hcpcs) Additions,
Changes, Updates and Deletions
Community Mental Health Services Providers
Description: Medicaid Policy Manual For Community Mental Health Services
Providers Indicated
Description: I. Prescriber Identification Numbers
II. South Carolina Medicaid Preferred Drug List – Additional Therapeutic Classes
Hospital Providers
Description: Replacement And Void/Cancel Claims
Medicaid Providers
Description: Medical Homes Local Network (Mhln)
Durable Medical Equipment (Dme) Providers
Description: February Dme Manual Workshops
January - 2005
Optional State Supplementation Program Providers
Description: Provider Manual For The Optional State Supplementation Program
Physicians, Laboratories And Other Medical Professional Providers
Description: Medicaid Policy Manual For Physicians, Laboratories And Other Medical Professionals
Home Health Providers
Description: Medicaid Policy Manual For Home Health
Hospice Providers
Description: Medicaid Policy Manual For Hospice
Medicaid Providers Of Nursing Services
Description: Other Providers Of Nursing Services For Children Under 21 - Revised
Pharmacy Services Providers
Description: Medicaid Policy Manual For Pharmacy Services Providers
Community Long Term Care (CLTC) Providers
Description: Medicaid Policy Manual For Community Long Term Care Providers
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