Bulletins




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Provider Alert: Agency to Extend its EVV System to SCDDSN-operated Waivers

Post Date: 10/12/2021 - 10:11am

Bulletin: Rate Increase for Adult Day Health Care Providers (S5102)

Post Date: 10/04/2021 - 11:57am

SCDHHS has increased the reimbursement rate for adult day health care services provided to Healthy Connections Medicaid members participating in home and community-based waiver programs.

Bulletin: Rate Increase for Respite Services (T1005)

Post Date: 09/21/2021 - 5:28pm

Effective for dates of service on or after Sept. 1, 2021, the rate for respite care services billed using Healthcare Common Procedure Coding System (HCPCS) code T1005 was increased to $4.05 per 15-minute unit.

Bulletin: Coronavirus Disease 2019 (COVID-19) Third Dose of Vaccine Administration Coverage

Post Date: 09/08/2021 - 12:03pm

SCDHHS will reimburse for the administration of additional doses of the COVID-19 vaccine consistent with the updated emergency use authorization issued by the U.S. Food and Drug Administration (FDA) and the recommendations of the Centers for Disease Control and Prevention (CDC).

Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Fall 2021

Post Date: 09/03/2021 - 1:27pm

Bulletin: Update to Durable Medical Equipment Provider Manual

Post Date: 09/01/2021 - 12:34pm

Effective Oct. 1, 2021, the South Carolina Department of Health and Human Services (SCDHHS) will amend the definition of durable medical equipment (DME) found in the DME Provider Manual.

Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Fall 2021

Post Date: 08/18/2021 - 4:23pm

Bulletin: Vaccines for Children Policy and Coding Update

Post Date: 07/30/2021 - 4:10pm

SCDHHS is issuing a clarification regarding billing for vaccine administration current procedural terminology (CPT) codes 90460 and 90461 for vaccines obtained through the Vaccines for Children (VFC) program to Healthy Connections Medicaid-enrolled children.

Bulletin: Prostate Cancer Screenings Added to Limited Benefit Program

Post Date: 07/08/2021 - 3:01pm

SCDHHS today announced it will add coverage of prostate cancer screenings for members of the Family Planning limited benefit program beginning Aug. 1, 2021.

Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings - Summer 2021

Post Date: 06/30/2021 - 1:11pm

Provider Alert: Resuming Onsite Visits for Provider Reviews

Post Date: 06/21/2021 - 2:32pm

Bulletin: Payment Error Rate Measurement (PERM) Program

Post Date: 06/14/2021 - 3:32pm

CMS has informed SCDHHS that the South Carolina Healthy Connections Medicaid program will participate in the Payment Error Rate Measurement (PERM) program for State Fiscal Year 2022.

Bulletin: SCDHHS Policy Updates for July 1, 2021

Post Date: 06/03/2021 - 1:48pm

The South Carolina Department of Health and Human Services (SCDHHS) is announcing updates to several policies. The updates are described below and are effective for dates of service beginning July 1, 2021.

Provider Alert: Claim Correction (Void and Replace) Functionality in BRIDGES

Post Date: 04/16/2021 - 10:46am

Provider Alert: Updated Guidance for Behavioral Health Policies

Post Date: 04/15/2021 - 10:35am

Bulletin: South Carolina Recovery Audit Contractor

Post Date: 04/06/2021 - 2:41pm

SCDHHS has awarded a contract to Health Management Systems, Inc. (HMS) to act as the agency’s recovery audit contractor (RAC). Federal regulations (42 CFR 455.500 et. seq.) require states to establish a RAC program as a measure to promote the integrity of the Medicaid program. As a part of the RAC contract, HMS will also conduct Credit Balance audits according to 42 CFR § 455.506(a).

Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings – Spring 2021

Post Date: 04/01/2021 - 4:06pm

Provider Alert: Eligibility and Claims Inquiries from Providers

Post Date: 03/22/2021 - 4:15pm

Bulletin: Updates to Behavioral Health Policies

Post Date: 03/01/2021 - 4:10pm

Beginning Sept. 1, 2021, SCDHHS will require that the MTCM assessment include printed name, title, date and signature of the person conducting the assessment to validate the need or lack of need for MTCM services.

Provider Alert: Updated COVID-19 Testing Fee Schedule

Post Date: 02/18/2021 - 2:44pm

Provider Alert: Approval of South Carolina’s Appendix K Extension Request

Post Date: 01/22/2021 - 2:25pm

Bulletin: Changes to Prior Authorization Review Process for Select Physician administered Drugs

Post Date: 01/20/2021 - 2:24pm

SCDHHS today announced the prior authorization review for several physician-administered drugs will transition from a review process administered by KEPRO to a review process administered by Magellan Specialty (formerly ICORE).

Provider Alert: 1099s for Calendar Year 2020

Post Date: 01/19/2021 - 12:50pm

Provider Alert: Centene/WellCare Acquisition

Post Date: 01/07/2021 - 10:46am

Provider Alert: Upcoming Healthy Connections Medicaid Provider Trainings

Post Date: 01/04/2021 - 12:45pm

Bulletin: CNA Clinical Training Sites

Post Date: 12/31/2020 - 2:21pm

The South Carolina Department of Health and Human Services (SCDHHS) is updating agency policy to allow hospitals to serve as CNA clinical training sites. Effective Jan. 1, 2021, CNA candidates may receive the required 40 hours of clinical skills training in a hospital or approved nursing facility.

Provider Alert: Coronavirus Disease 2019 (COVID-19) Testing

Post Date: 12/31/2020 - 1:28pm

Bulletin: Coronavirus Disease 2019 (COVID-19) Vaccination Administration Coverage

Post Date: 12/22/2020 - 4:34pm

SCDHHS will reimburse for COVID-19 vaccine administration, without patient cost-sharing, when provided to Healthy Connections Medicaid members in a manner consistent with recommendations of the Advisory Committee on Immunization Practices (ACIP).

Provider Alert: December 2020 Provider Payment Schedule

Post Date: 12/16/2020 - 4:48pm

Provider Alert: Appendix K Temporary Retainer Payment Updates and Resources

Post Date: 12/16/2020 - 1:22pm

Provider Alert: 2021 Provider Enrollment Application Fee

Post Date: 12/02/2020 - 4:36pm

Provider Alert: November 2020 Provider Payment Schedule

Post Date: 11/17/2020 - 4:18pm

Bulletin: Vaccines for Children Policy and Coding Update

Post Date: 10/15/2020 - 4:36pm

The South Carolina Department of Health and Human Services (SCDHHS) is revising agency policies related to the administration of vaccines obtained through the Vaccines for Children (VFC) program to Healthy Connections Medicaid-enrolled children. The guidance and changes to vaccine administration and counseling policy included in this bulletin replace the existing SCDHHS guidance on this topic.

Provider Alert: IDEA Part C Policy Updates

Post Date: 10/15/2020 - 1:14pm

Provider Alert: Healthy Connections Choices Annual Enrollment Broker Provider Trainings

Post Date: 10/07/2020 - 4:31pm

Provider Alert: Approval of South Carolina’s Appendix K-Retainer Payments

Post Date: 09/29/2020 - 6:55pm

Bulletin: Updates to the Dental Services Provider Manual

Post Date: 09/10/2020 - 11:29am

Provider Alert: Aug. 25 Pharmacy Provider Average Acquisition Cost Webinar

Post Date: 08/31/2020 - 4:23pm

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