Bulletins




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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

Provider Alert: Updated COVID-19 Testing Fee Schedule

Post Date: 08/06/2020 - 5:39pm

Provider Alert: 2020 KEPRO Provider Annual Training

Post Date: 08/05/2020 - 10:42am

Provider Alert: Additional COVID-19 Telehealth Guidance for Early Intervention Providers

Post Date: 07/10/2020 - 10:27am

Bulletin: Provider Reimbursement Available for COVID-19 Testing for the Uninsured

Post Date: 07/06/2020 - 4:48pm

The South Carolina Department of Health and Human Services (SCDHHS) today announced it will begin accepting applications for a limited-benefit Medicaid coverage group newly authorized to provide reimbursement for coronavirus disease 2019 (COVID-19) testing for those without healthcare coverage. Services and individuals covered by the new COVID-19 Limited Benefit Program are limited to COVID-19 testing and diagnostic services. Instructions for providers are available below. Additional SCDHHS COVID-19-related policy changes and resources for providers are available at www.scdhhs.gov/COVID19.

Bulletin: July 2020 Coverage and Reimbursement Changes

Post Date: 06/30/2020 - 6:02pm

Several benefit and reimbursement changes are being implemented on July 1, 2020.

Provider Alert: Independence Day Provider Payment Holiday Schedule

Post Date: 06/22/2020 - 12:22pm

Provider Alert: COVID-19 Testing Fee Schedule, Provider FAQ Page Updated

Post Date: 06/16/2020 - 10:21am

Provider Alert: Healthy Connections Choices Annual Enrollment Broker Provider Trainings

Post Date: 04/28/2020 - 1:28pm

Provider Alert: Updated Coronavirus Disease 2019 (COVID-19) Provider FAQ Responses

Post Date: 04/24/2020 - 10:43am

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

Post Date: 04/21/2020 - 7:51pm

Provider Alert: 2020 Provider Revalidation: Group 2 Temporarily Delayed Due to COVID-19

Post Date: 04/20/2020 - 12:11pm

Bulletin: COVID-19 Telehealth Policy Update to New Patient and Associate and Assistant-level Provider Coverage

Post Date: 04/16/2020 - 6:24pm

On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19) and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is announcing additional temporary modifications to policies related to telehealth coverage. These modifications are in addition to those previously announced that are available at www.scdhhs.gov/COVID19.

Bulletin: COVID-19 Telehealth Policy Update to Well-visit Coverage

Post Date: 04/16/2020 - 1:48pm

On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19) and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is announcing additional temporary modifications to policies related to telehealth coverage. These modifications are in addition to those announced previously that are available at www.scdhhs.gov/covid19.

Bulletin: COVID-19 Telehealth Policy Update to Associate-level Provider Coverage

Post Date: 04/06/2020 - 6:55pm

On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19) and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is announcing additional temporary modifications to policies related to telehealth coverage.

Bulletin: COVID-19- Temporary Dental Services Policy

Post Date: 04/03/2020 - 7:45pm

SCDHHS is announcing additional temporary modifications to policies related to services eligible for reimbursement through the dental benefit.

Bulletin: Coronavirus Disease 2019 (COVID-19) Temporary Policy Updates: Nurse Aide Training and Competency Evaluation Programs and Paid Feeding Assistant Programs

Post Date: 04/02/2020 - 4:37pm

On Friday, March 13, 2020, President Donald Trump declared a national emergency due to coronavirus disease 2019 (COVID-19), U.S. Department of Health and Human Services Secretary Alex Azar issued a section 1135 blanket waiver and Governor Henry McMaster declared a state of emergency for the state of South Carolina. As a part of the state’s preparation and response to COVID-19, the South Carolina Department of Health and Human Services (SCDHHS) is announcing several temporary policy changes to protect the health and well-being of South Carolina Healthy Connections Medicaid members, certified nurse aides (CNAs), CNA candidates, paid feeding assistants (PFAs) and health care providers.

Provider Alert: Initial Approval of South Carolina’s 1135 Waiver Request

Post Date: 04/02/2020 - 2:05pm

Provider Alert: SCDHHS Hosting Medicaid Coronavirus Disease 19 (COVID-19) Update Webinar

Post Date: 04/01/2020 - 12:40pm

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